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Living with Pierson syndrome

A rare inherited condition that mainly affects the kidneys and eyes, with unusual small pupils.

Understanding Pierson syndrome

Pierson syndrome is a rare inherited condition that mainly affects the kidneys and eyes.

Babies have congenital nephrotic syndrome (kidneys that leak protein) and distinct eye differences, including microcoria (small pupils that don't respond to light). Chronic kidney problems, delays in development, and blindness can occur. Low muscle tone and movement disorders have also been reported.

Signs & symptoms

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

  • Kidneys that leak protein (congenital nephrotic syndrome)
  • Small pupils (microcoria)
  • Cataract
  • Quick, involuntary eye movements (nystagmus)
  • Low muscle tone (hypotonia)
  • Delays in development

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 eye disease specialists, genetic specialists and kidney specialists.

  3. Consider genetic testing

    Changes in LAMB2 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
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Kidney specialists (nephrologists)
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 American Association of Kidney Patients 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
How should my child's kidney function be monitored?
Which eye specialists should be involved?
Would LAMB2 testing help our family?

Quick facts

Symptoms usually startNewborn and as a Child
InheritanceAutosomal Recessive
GenesLAMB2

Changes in the LAMB2 gene cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticKidney

Also known as: microcoria and congenital nephrosis syndrome; microcoria-congenital nephrosis syndrome; microcoria-congenital nephrotic syndrome

Patient organizations

Source: NIH GARD · Pierson syndromeGARD ID 9420 · 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 Pierson syndrome.

Explore the Pierson syndrome blog

Explore research for Pierson syndrome

Explore actively recruiting Pierson syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Pierson 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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