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Living with Hereditary benign intraepithelial dyskeratosis

A rare inherited condition that causes white plaques on the eye surface and inside the mouth.

Understanding Hereditary benign intraepithelial dyskeratosis

Hereditary benign intraepithelial dyskeratosis is a rare inherited eye condition with white, raised plaques on the eye and in the mouth.

Plaques form on the white of the eye (sometimes spreading to the cornea) and inside the mouth, with enlarged red blood vessels in the eye. GARD says it was seen mainly in people with Haliwa-Saponi Native American ancestry. Some people have no symptoms. Others have eye itching, scarring of the cornea, tearing, light sensitivity, and vision loss from cloudy corneas. It starts in the newborn period or infancy.

Signs & symptoms

Symptoms vary from person to person. GARD lists these as less common:

  • White plaques on the eye and in the mouth
  • Red eyes
  • Eye itching
  • Sensitivity to light
  • Tearing
  • Vision loss from cloudy corneas

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 and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists)
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 rare disease patient organizations for support
  • 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
How often should my eyes and corneas be checked?
Could genetic testing help confirm the diagnosis?
What can be done about eye irritation and light sensitivity?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant

GARD says changes in genes (also called variants) cause this condition. It is autosomal dominant, so one changed copy of the gene is enough.

Genetic

Also known as: hbid; hereditary benign corneal intraepithelial dyskeratosis; witkop-von sallman syndrome; witkop-von sallmann disease

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Hereditary benign intraepithelial dyskeratosisGARD ID 17524 · 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

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