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Living with Corneal intraepithelial dyskeratosis-palmoplantar hyperkeratosis-laryngeal dyskeratosis syndrome

A rare condition with cloudy corneas and thick skin on the palms and soles, plus voice box and nail changes.

Understanding Corneal intraepithelial dyskeratosis-palmoplantar hyperkeratosis-laryngeal dyskeratosis syndrome

Corneal intraepithelial dyskeratosis-palmoplantar hyperkeratosis-laryngeal dyskeratosis syndrome is a rare eye condition with body-wide features.

It causes clouding of the cornea that can affect vision. It also comes with thickened palms and soles, changes in the voice box (larynx), itchy thick scars, ongoing runny nose, abnormal sweating, and thick nails. It can be noticed at any time in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Vision problems from corneal clouding
  • Thick palms and soles
  • New blood vessels in the cornea
  • Nail changes
  • Long-lasting runny nose
  • Loose finger joints

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include eye disease specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in NLRP1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Children's Skin Disease Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Would NLRP1 gene testing help our family?
How should the eyes and voice box be monitored?
What skin care can help with thick skin and scars?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant
GenesNLRP1

It is caused by changes in the NLRP1 gene. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it.

GeneticSkin

Also known as: mspc; palmoplantar carcinoma, multiple self-healing; palmoplantar carcinoma, multiple self-healing; mspc

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Corneal intraepithelial dyskeratosis-palmoplantar hyperkeratosis-laryngeal dyskeratosis syndromeGARD ID 17525 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Corneal intraepithelial dyskeratosis-palmoplantar hyperkeratosis-laryngeal dyskeratosis syndrome.

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