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Living with Rothmund-Thomson syndrome

A rare genetic condition that mainly affects the skin, along with hair, growth, bones, and teeth.

Understanding Rothmund-Thomson syndrome

Rothmund-Thomson syndrome is a rare genetic condition that affects many parts of the body, especially the skin.

A red cheek rash usually appears between ages 3 and 6 months and spreads to the arms and legs. Over time it causes patchy color changes, thin skin, and tiny blood vessels, together called poikiloderma. People may also have sparse hair, slow growth, short height, tooth and nail differences, and bone differences. GARD notes an increased risk of certain cancers, including bone and skin cancer.

Signs & symptoms

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

  • Patchy skin color changes and thin skin (poikiloderma)
  • Rash on the cheeks
  • Sparse hair, eyebrows, and eyelashes
  • Short stature
  • Tooth differences
  • Low bone density

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 skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    National Foundation for Ectodermal Dysplasias may keep lists of experts for this condition.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
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
Should we have genetic testing to confirm this condition?
What cancer screening is recommended?
How should skin, bones, and eyes be checked over time?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

It is autosomal recessive, so a child inherits a changed copy of a gene from each parent. GARD says related conditions can be caused by changes in the same gene but does not name it here.

GeneticSkin

Also known as: congenital poikiloderma; poikiloderma congenitale; poikiloderma congenitale syndrome; poikiloderma of rothmund-thomson; rts

Patient organizations

Source: NIH GARD · Rothmund-Thomson syndromeGARD ID 4392 · 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 Rothmund-Thomson syndrome.

Explore the Rothmund-Thomson syndrome blog

Explore research for Rothmund-Thomson syndrome

Explore actively recruiting Rothmund-Thomson syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Rothmund-Thomson 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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