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Living with Dermatopathia pigmentosa reticularis

A rare genetic skin condition with widespread net-like dark skin patches, thin hair, and nail changes.

Understanding Dermatopathia pigmentosa reticularis

Dermatopathia pigmentosa reticularis is a rare genetic ectodermal dysplasia that affects skin, hair, and nails.

It causes widespread net-like darkening of the skin starting early in life that persists throughout life, mild hair loss, and nail changes. There are no dental problems. Some people have no fingerprints, thickened skin on palms and soles, blistering, and changes in sweating.

Signs & symptoms

GARD doesn't list a symptom list. Its summary describes these features:

  • Net-like dark skin patches
  • Mild hair loss
  • Nail changes
  • No fingerprints (adermatoglyphia)
  • Thickened skin on palms and soles
  • Blistering on the backs of hands and feet

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 genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in KRT14 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    National Foundation for Ectodermal Dysplasias may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: National Foundation for Ectodermal Dysplasias
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 National Foundation for Ectodermal Dysplasias and other patient organizations
  • 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
Can genetic testing of the KRT14 gene confirm the diagnosis?
How can skin blistering and sweating changes be managed?
Which dermatology care do I need?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesKRT14

Changes in the KRT14 gene cause this condition. It is autosomal dominant, so a changed copy of the gene from one parent can be enough.

GeneticSkin

Also known as: dpr; dpr - dermatopathia pigmentosa reticularis

Patient organizations

Source: NIH GARD · Dermatopathia pigmentosa reticularisGARD ID 8550 · 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 Dermatopathia pigmentosa reticularis.

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Explore research for Dermatopathia pigmentosa reticularis

Explore actively recruiting Dermatopathia pigmentosa reticularis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Dermatopathia pigmentosa reticularis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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