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Living with Symmetrical dyschromatosis of extremities

A rare skin condition with small dark and light spots, mainly on the hands and feet.

Understanding Symmetrical dyschromatosis of extremities

Symmetrical dyschromatosis of the extremities is a rare skin condition with a mix of darker and lighter small spots.

The spots are about 5 millimeters wide and mostly on the arms, legs, hands, and feet. It usually starts in childhood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these:

  • Small dark spots on the skin
  • Small light spots on the skin
  • Spots mainly on the hands, feet, arms, and legs
  • Twisting muscle spasms (dystonia) in some people

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 ADAR 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
Are there any treatments for the skin color changes?
Should I be checked for muscle spasms or movement problems?
Would ADAR gene testing help our family?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesADAR

Changes in the ADAR gene cause this condition. It is autosomal dominant, meaning one changed copy of the gene can cause it.

GeneticSkin

Also known as: acropigmentation of dohi; dsh; dsh1; dyschromatosis symmetrica hereditaria; dyschromatosis symmetrica hereditaria 1; rad

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Symmetrical dyschromatosis of extremitiesGARD ID 334 · 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 Symmetrical dyschromatosis of extremities.

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