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Living with Kindler syndrome

An inherited skin condition with blistering from infancy, thin papery skin, sun sensitivity, and fragile moist linings such as in the mouth.

Understanding Kindler syndrome

Kindler syndrome (Kindler EB) is a rare type of epidermolysis bullosa, a group of genetic conditions with very fragile, easily blistering skin.

Blistering starts in early infancy, mostly on the backs of the hands and tops of the feet, and becomes less frequent over time. Skin becomes thin and papery, with changes in color and small visible blood vessels (poikiloderma). People sunburn easily. The moist linings of the mouth, eyes, esophagus, intestines, genitals, and urinary tract can be fragile. Severe gum disease, narrowing of the esophagus, and colitis can occur.

Signs & symptoms

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

  • Skin blistering
  • Thin, papery skin with color changes (poikiloderma)
  • Sun sensitivity
  • Gum disease and early tooth loss
  • Narrowing of the esophagus
  • Fused skin between the fingers

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. Consider genetic testing

    Changes in FERMT1 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

    DEBRA of America may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: DEBRA of America
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 DEBRA of America 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 FERMT1 gene confirm the diagnosis?
How should I protect my skin from sun and injury?
How often should I have dental and swallowing checks?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesFERMT1

Changes in the FERMT1 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticSkin

Also known as: bullous acrokeratotic poikiloderma of kindler and weary; congenital bullous poikiloderma; hereditary acrokeratotic poikiloderma of weary; kindler epidermolysis bullosa; kindler's syndrome; kndlrs

Patient organizations

Source: NIH GARD · Kindler syndromeGARD ID 4391 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

Explore research for Kindler syndrome

Explore actively recruiting Kindler syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Kindler syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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