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Living with Incontinentia pigmenti syndrome

A genetic condition that mainly affects the skin and can involve the eyes, teeth, hair, and brain; it is more common in females.

Understanding Incontinentia pigmenti syndrome

Incontinentia pigmenti is a genetic condition that can affect many body systems, especially the skin, and happens much more often in females than in males.

Skin changes evolve through childhood and young adulthood. Many babies have a blistering rash at birth that heals, then wart-like spots, then swirled gray or brown patches that fade. People may be at risk of stroke and vision loss, especially in the first year of life.

Signs & symptoms

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

  • Blistering rash in infancy
  • Swirled gray or brown skin patches
  • Lines of light-colored skin on arms and legs
  • Tooth differences
  • Nail differences
  • Hair loss on the scalp

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 brain and nervous system specialists, eye disease specialists, genetic specialists and gum, teeth and mouth specialists.

  3. Consider genetic testing

    Changes in IKBKG 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 and Epilepsy Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Gum, teeth and mouth specialists (odontologists)
Expert care
Expert lists: National Foundation for Ectodermal Dysplasias, Epilepsy Foundation
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 for the IKBKG gene confirm the diagnosis?
How often should my child have eye exams?
Which specialists should check the brain, teeth, and skin?

Quick facts

Symptoms usually startNewborn
InheritanceX-Linked
GenesIKBKG

Changes in the IKBKG gene cause this condition. It is inherited in an X-linked pattern, meaning the gene is on the X chromosome.

GeneticNeurologicalSkin

Also known as: bloch-siemens syndrome; bloch-sulzberger syndrome; incontinentia pigmenti; incontinentia pigmenti of bloch-sulzberger; incontinentia pigmenti, familial male-lethal type; incontinentia pigmenti, type ii

Patient organizations

Source: NIH GARD · Incontinentia pigmenti syndromeGARD ID 6778 · 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 Incontinentia pigmenti syndrome.

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