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Living with Nail-patella-like renal disease

A rare inherited kidney condition with protein and blood in the urine, without the nail and bone changes of nail-patella syndrome.

Understanding Nail-patella-like renal disease

Nail-patella-like renal disease is a rare inherited kidney condition that affects the kidneys' filters (glomeruli).

It causes kidney disease (nephropathy) of varying severity, with tiny amounts of blood and protein in the urine. People do not have the nail and bone changes seen in nail-patella syndrome. GARD lists onset in the newborn period and infancy.

Signs & symptoms

GARD lists these features:

  • Kidney filter disease (glomerulopathy)
  • High blood pressure
  • Reduced kidney function
  • Short stature
  • Blood in the urine (microscopic)
  • Protein in the urine

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 kidney specialists.

  3. Consider genetic testing

    Changes in LMX1B 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

    NephCure Kidney International may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Kidney specialists (nephrologists)
Expert care
Expert lists: NephCure Kidney International
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 NephCure Kidney International 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 genetic testing for the LMX1B gene?
How often should my kidney function be checked?
How can we manage blood pressure to protect the kidneys?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesLMX1B

GARD lists changes in the LMX1B gene. The condition is autosomal dominant, which means one changed copy of the gene can be enough to cause it.

GeneticKidney

Also known as: focal segmental glomerulosclerosis 10; glomerular basement membrane disease, nail-patella syndrome type; nail patella-like renal disease; salcedo syndrome

Patient organizations

Source: NIH GARD · Nail-patella-like renal diseaseGARD ID 321 · 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 Nail-patella-like renal disease.

Explore the Nail-patella-like renal disease blog

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