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Living with Hydrocephalus-blue sclerae-nephropathy syndrome

A rare genetic condition with fluid buildup in the brain, kidney disease, thin skin, and bluish whites of the eyes.

Understanding Hydrocephalus-blue sclerae-nephropathy syndrome

Hydrocephalus-blue sclerae-nephropathy syndrome is a rare genetic condition that affects the brain, kidneys, skin, and eyes.

It involves nephrotic syndrome, a kidney problem, with scarring in parts of the kidney. It occurs with hydrocephalus (extra fluid in the brain), thin skin, and blue sclerae (bluish whites of the eyes). It has not been described in the medical literature since 1978.

Signs & symptoms

GARD doesn't list specific symptoms for this condition. Its summary describes:

  • Kidney problem (nephrotic syndrome)
  • Fluid buildup in the brain (hydrocephalus)
  • Thin skin
  • Blue-tinted whites of the eyes (blue sclerae)

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 kidney 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); Kidney specialists (nephrologists)
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 National Kidney Foundation 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
How is kidney function monitored?
How is hydrocephalus checked and treated?
Would genetic counseling help our family?

Quick facts

Changes in genes (also called variants) cause this condition. GARD doesn't list a specific gene or inheritance pattern.

GeneticKidney

Also known as: daentl towsend siegel syndrome; daentl-townsend-siegel syndrome; familial nephrosis, hydrocephalus, thin skin, blue sclerae syndrome; hydrocephalus blue sclera nephropathy

Patient organizations

Source: NIH GARD · Hydrocephalus-blue sclerae-nephropathy syndromeGARD ID 236 · 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 Hydrocephalus-blue sclerae-nephropathy syndrome.

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  • Eligibility is confirmed by the study team

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