Face Without Skin

Summary: The face is one of the most defining features of our appearance, but what happens when it is stripped of its skin? This unsettling concept may sound like something out of a horror movie, but it is a real-life condition known as “face without skin.” In this article, we will explore the causes, symptoms, and treatments of this rare condition.

1. What Causes Face Without Skin

Face without skin, also known as dermatopathia pigmentosa reticularis (DPR), is an extremely rare genetic disorder. It is caused by mutations in the gene encoding integrin alpha-3 (ITGA3). The ITGA3 protein is necessary for the proper formation and maintenance of skin, especially in the face. Without this protein, the skin cannot develop properly and can be extremely fragile.

There are only 15 documented cases of DPR worldwide, which demonstrates its rarity. The condition is inherited in an autosomal-dominant manner, meaning that only one copy of the mutated gene is needed to develop the condition. However, not everyone with the mutation will show symptoms, and the severity can vary widely among affected individuals.

2. Symptoms of Face Without Skin

The hallmark feature of DPR is the complete absence of skin on the face. This means that all the underlying structures, including muscles and bone, are exposed. Additionally, other areas of the body may also be affected and have abnormal pigmentation, hence the name dermatopathia pigmentosa reticularis. In some cases, affected individuals may have sparse hair growth, as hair follicles require a certain amount of skin integrity to function properly.

In addition to the physical traits, individuals with DPR may experience other medical problems, such as recurrent infections and developmental delays.

3. Treatment of Face Without Skin

Currently, there is no cure for face without skin or DPR. Management of the condition typically involves wound care and protection, as well as treating any secondary infections that may arise due to the lack of skin. Dressings and topical steroids may be used to help promote healing and prevent infection.

Surgical options, such as skin grafts or tissue expanders, may also be considered to help cover the exposed structures. However, these options can be difficult due to the fragile nature of the tissues and the high risk of complications. A team of specialists, including a dermatologist, plastic surgeon, and genetic counselor, can help determine the best course of treatment based on the individual’s needs.


Face without skin is a rare genetic disorder with only a handful of documented cases worldwide. The condition is caused by mutations in the ITGA3 gene, leading to the absence of skin on the face. Management of the condition involves wound care and protection, as well as treating any secondary infections. While there is no cure, a team of specialists can help provide the best possible care for affected individuals. Despite its rarity, the condition serves as a reminder of the importance of our skin and the critical role it plays in protecting our bodies.

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