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Living with Lipid proteinosis

A rare inherited condition in which protein deposits build up in the skin and mucous membranes, often causing a hoarse voice.

Understanding Lipid proteinosis

Lipoid proteinosis (also called lipid proteinosis) is a rare inherited condition in which small clumps of protein and other molecules form in tissues throughout the body.

The clumps appear in the skin, upper airway, and the moist linings of the mouth and eyelids. The first sign is usually a hoarse voice, or a weak cry in infancy. Tiny bead-like bumps along the eyelash line are characteristic. Skin and mucous membranes can be fragile in children.

Signs & symptoms

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

  • Hoarse voice
  • Bead-like bumps along the eyelids
  • Skin blistering
  • Changes in the lining of the mouth and gums
  • Firm lumps under the skin
  • Acne-like scars

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 ECM1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

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
Would ECM1 gene testing help our family?
How can voice and breathing changes be monitored?
Which specialists, such as ENT and dermatology, should be on my team?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive
GenesECM1

It is caused by changes in the ECM1 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticSkin

Also known as: hyalinosis cutis et mucosae; lipoid proteinosis; lipoid proteinosis of urbach and wiethe; lipoidosis cutis et mucosae; lipoproteinosis; urbach wiethe disease

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Lipid proteinosisGARD ID 3268 · 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 Lipid proteinosis.

Explore the Lipid proteinosis blog

Explore research for Lipid proteinosis

Explore actively recruiting Lipid proteinosis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Lipid proteinosis 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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