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Living with Limb-mammary syndrome

A rare inherited condition affecting the hands and feet, breasts and nipples, teeth, and nails.

Understanding Limb-mammary syndrome

Limb-mammary syndrome is a rare genetic condition marked by hand and foot differences, underdeveloped breasts or nipples, and ectodermal dysplasia.

Ectodermal dysplasia mainly affects the teeth and nails. A cleft lip or palate may also be present. It may be noticed during pregnancy or in newborns.

Signs & symptoms

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

  • Hand and foot differences
  • Underdeveloped or missing breasts
  • Small or absent nipples
  • Blocked tear ducts
  • Teeth and nail differences
  • Cleft lip or palate

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 bone and joint specialists, eye disease specialists, genetic specialists and maternal-fetal medicine specialists.

  3. Consider genetic testing

    Changes in TP63 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 may keep lists of experts for this condition.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Maternal-fetal medicine specialists (pregnancy-related)
Expert care
Expert lists: National Foundation for Ectodermal Dysplasias
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
Would TP63 gene testing help our family?
Which specialists should help with hand, dental, and eye care?
How could this affect other family members?

Quick facts

Symptoms usually startduring Pregnancy and as a Newborn
InheritanceAutosomal Dominant
GenesTP63

It is caused by changes in the TP63 gene. A person can have it after inheriting one changed copy of the gene (autosomal dominant).

GeneticSkinUrinary and Reproductive

Also known as: limb mammary syndrome; lms; mammary hypoplasia, ectrodactyly, and other hand/foot anomalies

Patient organizations

Source: NIH GARD · Limb-mammary syndromeGARD ID 10051 · 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 Limb-mammary syndrome.

Explore the Limb-mammary syndrome blog

Explore research for Limb-mammary syndrome

Explore actively recruiting Limb-mammary syndrome studies with HealthSpark.

HealthSpark

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

  • Recruiting studies from ClinicalTrials.gov
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  • 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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