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Living with Zimmermann-Laband syndrome

A rare genetic condition with overgrown gums, coarse facial features, and small or missing nails on the fingers and toes.

Understanding Zimmermann-Laband syndrome

Zimmermann-Laband syndrome is a rare genetic condition with overgrown gums, coarse facial features and small or missing nails.

People may also have missing or underdeveloped end bones of the fingers and toes. Other listed features include intellectual disability, very flexible joints, extra body hair and large, fleshy ears. Onset is in the newborn period.

Signs & symptoms

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

  • Overgrown gums (gingival fibromatosis)
  • Small or missing fingernails
  • Coarse facial features, with a wide nose and mouth
  • Large, thickened ears
  • Intellectual disability
  • Very flexible joints

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, genetic specialists and gum, teeth and mouth specialists.

  3. Ask which tests can help

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

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Gum, teeth and mouth specialists (odontologists)
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 Cure KCNH1 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
Is genetic testing available to confirm the diagnosis?
What dental care can help with overgrown gums?
What supports can help with learning and development?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Recessive

GARD doesn't name a gene for this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticNeurological

Also known as: gingival fibromatosis-hepatosplenomegaly-other anomalies syndrome; laband syndrome; laband-zimmermann syndrome; zimmerman laband syndrome; zimmermann-laband syndrome type 1; zls

Patient organizations

Source: NIH GARD · Zimmermann-Laband syndromeGARD ID 385 · 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 Zimmermann-Laband syndrome.

Explore the Zimmermann-Laband syndrome blog

Explore research for Zimmermann-Laband syndrome

Explore actively recruiting Zimmermann-Laband syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Zimmermann-Laband 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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