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Living with Hyperkeratosis lenticularis perstans

A rare skin condition with reddish-brown scaly bumps, mostly on the lower legs, that usually don't cause symptoms.

Understanding Hyperkeratosis lenticularis perstans

Hyperkeratosis lenticularis perstans is a rare skin disease with reddish-brown, thickened bumps, mainly on the lower legs.

The bumps (papules) are usually painless. They are mainly located on the lower legs. It may happen by chance or run in families. It often begins in adults.

Signs & symptoms

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

  • Reddish-brown thickened bumps
  • Bumps mainly on the lower legs
  • Itching
  • Open skin sores

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. Ask which tests can help

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

Care & treatment

Care team
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
Which treatments can help the skin bumps?
Should my skin be checked regularly?
Does it run in our family?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant

Changes in genes (also called variants) cause this condition. It is autosomal dominant, meaning one changed copy of the gene can be enough to cause it. It may also be sporadic.

GeneticSkin

Also known as: flegel disease; flegel's disease; flegels disease; hlp; hlp - hyperkeratosis lenticularis perstans; hyperkeratosis lenticularis perstans (disease)

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Hyperkeratosis lenticularis perstansGARD ID 2824 · 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 Hyperkeratosis lenticularis perstans.

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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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