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Living with MEDNIK syndrome

A rare inherited condition of copper handling that affects the gut, nerves, skin, hearing, and learning.

Understanding MEDNIK syndrome

MEDNIK syndrome is a rare disorder of copper metabolism that affects the intestines, nerves, skin, hearing, and learning.

Features include intellectual disability, intestine problems (enteropathy), hearing loss from the inner ear, nerve damage in the limbs, and skin that is thick and scaly (ichthyosis and keratoderma). It can start in pregnancy, at birth, or in infancy.

Signs & symptoms

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

  • Intellectual disability
  • Thick, scaly skin (ichthyosis)
  • Thickened outer skin layer (hyperkeratosis)
  • Nerve damage in the arms and legs (peripheral neuropathy)
  • Intestinal problems
  • Bile flow problems in the liver (cholestasis)

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, ear, nose, and throat specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in AP1S1 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

    Foundation for Ichthyosis and Related Skin Types may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Ear, nose, and throat specialists (otolaryngologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Foundation for Ichthyosis and Related Skin Types
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 Foundation for Ichthyosis and Related Skin Types 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
Should we have AP1S1 genetic testing for our family?
Which specialists should follow the gut, skin, nerves, and hearing?
How is copper monitored in this condition?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant
InheritanceAutosomal Recessive
GenesAP1S1

Changes in the AP1S1 gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalSkinInherited Metabolic

Also known as: erythrokeratodermia variabilis 3; erythrokeratodermia variabilis kamouraska type; erythrokeratodermia variabilis, kamouraska type; intellectual disability-enteropathy-deafness-peripheral neuropathy-ichthyosis-keratodermia syndrome; intellectual disability-enteropathy-hearing loss-peripheral neuropathy-ichthyosis-keratodermia syndrome; intellectual disability, enteropathy, deafness, neuropathy, ichthyosis, keratodermia

Patient organizations

Source: NIH GARD · MEDNIK syndromeGARD ID 17072 · 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 MEDNIK syndrome.

Explore the MEDNIK syndrome blog

Explore research for MEDNIK syndrome

Explore actively recruiting MEDNIK syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for MEDNIK 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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