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Acquired idiopathic generalized anhidrosis (AIGA) is a rare disease with approximately 100 reported cases worldwide, many of which occurred in Asia, especially in Japan.1  To diagnose AIGA, other causes of anhidrosis (medications; physical agents; and dermatologic, neurologic, metabolic, and endocrine disorders), must be ruled out.  Three subtypes of AIGA with different pathologic conditions can be distinguished: sweat gland failure, sudomotor neuropathy, and idiopathic pure sudomotoric failure.1, 2 We report a case of AIGA in an Austrian patient. At present, only a few cases have been reported in Europe3, 4, 5 and the United States.6, 7, 8

Acquired idiopathic generalized anhidrosis in a young Austrian patient