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Living with Haim-Munk syndrome

A rare inherited condition with thick skin on the palms and soles, severe gum disease starting early, and nail and finger changes.

Understanding Haim-Munk syndrome

Haim-Munk syndrome (HMS) is a rare inherited condition with thick skin on the palms and soles and severe early-onset gum disease.

Features include thick palms and soles (palmoplantar hyperkeratosis), severe early gum disease (periodontitis), thick curved nails, flat feet, long slender fingers (arachnodactyly), and bone loss at the fingertips (acroosteolysis). It usually begins in infancy or childhood.

Signs & symptoms

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

  • Thickened skin on the palms and soles
  • Severe gum disease (periodontitis)
  • Cavities
  • Thick nails
  • Long, slender fingers
  • Flat 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, gum, teeth and mouth specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in CTSC 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
Genetic specialists (geneticists); Gum, teeth and mouth specialists (odontologists); 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
Can genetic testing confirm a change in the CTSC gene?
What dental and gum care do I need, and how often?
What skin care helps with thick palms and soles?

Quick facts

Symptoms usually startInfant and as a Child
InheritanceAutosomal Recessive
GenesCTSC

Changes in the CTSC gene cause this condition. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticSkinInherited Metabolic

Also known as: cochin jewish disorder; haim munk syndrome; hms; keratosis palmoplantaris with periodontopathia and onychogryposis; keratosis palmoplantaris with periodontopathia and onychogryposis syndrome; keratosis palmoplantaris-periodontopathia-onychogryposis syndrome

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Haim-Munk syndromeGARD ID 44 · 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 Haim-Munk syndrome.

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Explore research for Haim-Munk syndrome

Explore actively recruiting Haim-Munk syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Haim-Munk syndrome 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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