Raras
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Síndrome Netherton
ORPHA:634CID-10 · Q80.8CID-11 · LD27.2OMIM 256500DOENÇA RARA

A síndrome de Netherton (SN) é uma doença cutânea caracterizada por eritrodermia ictiosiforme congênita (EIC), um defeito distinto na haste do cabelo (tricorrexe invaginada; TI) e manifestações atópicas.

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

A síndrome de Netherton (SN) é uma doença cutânea caracterizada por eritrodermia ictiosiforme congênita (EIC), um defeito distinto na haste do cabelo (tricorrexe invaginada; TI) e manifestações atópicas.

Pesquisas ativas
8 ensaios
23 total registrados no ClinicalTrials.gov
Publicações científicas
505 artigos
Último publicado: 2026 Apr 15
Medicamentos
4 registrados
ADALIMUMAB, SPESOLIMAB, DUPILUMAB

Tem tratamento?

4 medicamentos registrados
Ver detalhes, fases e interações →
ADALIMUMABSPESOLIMABDUPILUMABPIMECROLIMUS

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
1-9 / 1 000 000
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.5
Europe
Início
Infancy
+ neonatal
🏥
SUS: Cobertura mínimaScore: 15%
CID-10: Q80.8
🇧🇷Dados SUS / DATASUS
PROCEDIMENTOS SIGTAP (5)
0202010503
Cariótipo — bandas G, Q ou Rgenetic_test
0202010600
Pesquisa de microdeleções/microduplicações por FISHlab_test
0202010694
Sequenciamento completo do exoma (WES)rehabilitation
0202010260
Dosagem de alfa-fetoproteína
0301070040
Atendimento em reabilitação — doenças raras
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Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🧬
Pele e cabelo
31 sintomas
🫁
Pulmão
10 sintomas
👁️
Olhos
8 sintomas
🫃
Digestivo
8 sintomas
🧠
Neurológico
6 sintomas
🩸
Sangue
5 sintomas

+ 79 sintomas em outras categorias

Características mais comuns

100%prev.
Início juvenil
Obrigatório (100%)
100%prev.
HP:0003577
Frequência: 68/68
100%prev.
Início neonatal
Frequência: 6/6
100%prev.
Início na infância
Frequência: 2/2
100%prev.
Liquenificação flexural
Frequência: 2/2
100%prev.
Alergia a medicamentos
Obrigatório (100%)
161sintomas
Muito frequente (106)
Frequente (30)
Ocasional (6)
Muito raro (14)
Sem dados (5)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 161 características clínicas mais associadas, ordenadas por frequência.

Início juvenilJuvenile onset
Obrigatório (100%)100%
HP:0003577
Frequência: 68/68100%
Início neonatalNeonatal onset
Frequência: 6/6100%
Início na infânciaInfantile onset
Frequência: 2/2100%
Liquenificação flexuralFlexural lichenification
Frequência: 2/2100%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico505PubMed
Últimos 10 anos200publicações
Pico202539 papers
Linha do tempo
2026Hoje · 2026🧪 2005Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Genética e causas

O que está alterado no DNA e como passa nas famílias

Genes associados

1 gene identificado com associação a esta condição. Padrão de herança: Autosomal recessive.

SPINK5Serine protease inhibitor Kazal-type 5Disease-causing germline mutation(s) inTolerante
FUNÇÃO

Serine protease inhibitor, probably important for the anti-inflammatory and/or antimicrobial protection of mucous epithelia. Contribute to the integrity and protective barrier function of the skin by regulating the activity of defense-activating and desquamation-involved proteases. Inhibits KLK5, its major target, in a pH-dependent manner. Inhibits KLK7, KLK14 CASP14, and trypsin

LOCALIZAÇÃO

Secreted

VIAS BIOLÓGICAS (1)
Differentiation of Keratinocytes in Interfollicular Epidermis in Mammalian Skin
MECANISMO DE DOENÇA

Netherton syndrome

An autosomal recessive congenital ichthyosis associated with hair shaft abnormalities and anomalies of the immune system. Typical features are ichthyosis linearis circumflexa, ichthyosiform erythroderma, trichorrhexis invaginata (bamboo hair), atopic dermatitis, and hayfever. High postnatal mortality is due to failure to thrive, infections and hypernatremic dehydration.

EXPRESSÃO TECIDUAL(Tecido-específico)
Esôfago - Mucosa
1154.5 TPM
Vagina
666.4 TPM
Skin Sun Exposed Lower leg
328.5 TPM
Skin Not Sun Exposed Suprapubic
312.4 TPM
Glândula salivar
10.8 TPM
OUTRAS DOENÇAS (1)
Netherton syndrome
HGNC:15464UniProt:Q9NQ38

Medicamentos e terapias

ADALIMUMABPhase 2

Mecanismo: TNF-alpha inhibitor

SPESOLIMABPhase 2

Mecanismo: IL36 receptor antagonist

DUPILUMABPhase 2

Mecanismo: Interleukin-4 receptor subunit alpha antagonist

PIMECROLIMUSPhase 1

Mecanismo: FK506-binding protein 1A inhibitor

Ver mais no OpenTargets

Variantes genéticas (ClinVar)

201 variantes patogênicas registradas no ClinVar.

🧬 SPINK5: NM_006846.4(SPINK5):c.2569A>T (p.Arg857Ter) ()
🧬 SPINK5: NM_006846.4(SPINK5):c.2726C>A (p.Ser909Ter) ()
🧬 SPINK5: NM_006846.4(SPINK5):c.410+1G>T ()
🧬 SPINK5: NM_006846.4(SPINK5):c.2458del (p.Glu820fs) ()
🧬 SPINK5: NM_006846.4(SPINK5):c.1772del (p.Leu591fs) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 264 variantes classificadas pelo ClinVar.

236
28
Patogênica (89.4%)
VUS (10.6%)
VARIANTES MAIS SIGNIFICATIVAS
SPINK5: NM_006846.4(SPINK5):c.410+1G>T [Pathogenic]
SPINK5: NM_006846.4(SPINK5):c.411-6_411-5del [Likely pathogenic]
SPINK5: NM_006846.4(SPINK5):c.666+1G>C [Pathogenic]
SPINK5: NM_006846.4(SPINK5):c.1771_1772dup (p.Leu591_Asp592insTer) [Likely pathogenic]
SPINK5: NM_006846.4(SPINK5):c.1750_1753del (p.Glu584fs) [Likely pathogenic]

Vias biológicas (Reactome)

2 vias biológicas associadas aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
3Fase 36
2Fase 28
1Fase 16
·Pré-clínico4
Medicamentos catalogadosEnsaios clínicos· 4 medicamentos · 20 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Síndrome Netherton

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

6 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

23 ensaios clínicos encontrados, 8 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
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Publicações mais relevantes

Timeline de publicações
299 papers (10 anos)
#1

SPINK5 Variants Drive Clinical Variability in Netherton Syndrome Through Th2/Th17 Skewing and Influence Therapeutic Outcomes.

The journal of allergy and clinical immunology. In practice2026 Jan 27

Netherton syndrome (NS) is a rare genetic disorder resulting from biallelic mutations in the serine protease inhibitor Kazal-type 5 (SPINK5) gene, which encodes the lymphoepithelial Kazal-type-related inhibitor (LEKTI). Although currently classified as a hyper-IgE syndrome, several manifestations contradict this categorization. Data on genotype-phenotype correlations remain limited, and pediatric outcomes of biologic therapies are inconsistent. This study investigated the clinical, immunological features, genotype-phenotype correlations, and pediatric outcomes of various systemic and biologic therapies in detail. Clinical, immunological, and treatment data from 8 patients were collected in a mixed retrospective-prospective design. Variants were categorized based on the affected bioreactive fragments (FR1-FR5) of the LEKTI protein. Among 6 SPINK5 variants, including 2 novel ones, 4 FR1-related variants were linked to severe phenotypes, whereas 2 FR5-related variants were associated with milder disease. The onset of skin features was significantly earlier in patients with allergic manifestations than in those without. Although no intrinsic developmental defects in T or B cells were identified, skin barrier disruption was associated with immune activation and skewing toward Th2/Th17 responses. Notably, increased programmed cell death protein-1 expression, expansion of CD4+IL-17+ T cells, and reduced frequencies of IFN-γ-producing CD4+ T cells correlated with clinical disease severity. In scaly erythroderma, secukinumab was most effective for scaling, whereas dupilumab was more effective for pruritus. The efficacy of dupilumab and infliximab was temporary, with rebound skin lesions observed during follow-up. Immunoglobulin therapy supported growth but revealed variable skin benefits. The described findings support the concept of indirect immune dysregulation in NS due to a defective skin barrier, emphasizing the need for therapies that extend beyond single cytokine or receptor blockade.

#2

Dysregulated proteolytic cascades in Netherton syndrome: from molecular pathology to preclinical drug testing.

The Journal of pathology2026 Mar

Netherton syndrome (NS) is a rare, severe, and often life-threatening disease for which current therapeutic approaches are limited and show variable effectiveness. NS is characterized by excessive epidermal desquamation that results in a highly defective epidermal barrier, constitutive skin inflammation, allergies, and hair abnormalities. NS develops due to loss-of-function mutations in the SPINK5 gene, which encodes the LEKTI inhibitor that regulates KLK proteases (KLK5, KLK6, KLK7, KLK13, and KLK14). These findings indicate that dysregulation of proteolytic networks underlies the extensive skin shedding and inflammation characteristic of NS. Spink5-/- mice recapitulate the major features of the human disease but exhibit neonatal lethality. Several double- and triple-knockout models have been generated to rescue the lethal NS phenotype, and have proved instrumental in studies aiming to elucidate the biological pathways involved in NS, and to identify and validate potential targets for drug development. These studies have established that inhibition of excessive KLK protease activity in LEKTI-deficient epidermis can reverse the cutaneous manifestations of NS. In particular, ablation of KLK5 results in a marked therapeutic response, although KLK7 or TNFα must also be inhibited to rescue the most severe (lethal) form of NS. Murine models have also been essential in proving or disproving putative pathways and/or therapeutic targets proposed from in vitro studies or patient case studies. Collectively, these models have provided a deeper understanding of the epidermal proteolytic cascades involved in NS pathology and in normal skin renewal. Moreover, these models offer a platform in which disease-specific candidate therapeutics can be tested and preclinically validated. © 2026 The Author(s). The Journal of Pathology published by John Wiley & Sons Ltd on behalf of The Pathological Society of Great Britain and Ireland.

#3

Netherton Syndrome With Trichorrhexis Invaginata "Bamboo Hair" Under Dermoscopy: Case Images.

Clinical case reports2026 Jan

Early recognition of Netherton syndrome in children can be prompted by dermoscopic detection of trichorrhexis invaginata ("bamboo hair") together with ichthyosis linearis circumflexa. Dermoscopy of eyebrow hairs is a simple, noninvasive clue that expedites diagnosis, counseling, and supportive care while genetic testing is pursued.

#4

Efficacy of Upadacitinib in a Middle-Aged Man With Netherton Syndrome Refractory to Dupilumab: A Case Report.

The Journal of dermatology2026 Mar 07
#5

Netherton Syndrome Masquerading as Pustular Psoriasis.

Indian dermatology online journal2026 Feb 19

Publicações recentes

Ver todas no PubMed

📚 EuropePMC329 artigos no totalmostrando 196

2026

Efficacy of Upadacitinib in a Middle-Aged Man With Netherton Syndrome Refractory to Dupilumab: A Case Report.

The Journal of dermatology
2026

Netherton Syndrome Masquerading as Pustular Psoriasis.

Indian dermatology online journal
2026

Neonatal Netherton syndrome: Dermoscopic clues for early diagnosis.

JAAD case reports
2026

SPINK5 Variants Drive Clinical Variability in Netherton Syndrome Through Th2/Th17 Skewing and Influence Therapeutic Outcomes.

The journal of allergy and clinical immunology. In practice
2026

Dysregulated proteolytic cascades in Netherton syndrome: from molecular pathology to preclinical drug testing.

The Journal of pathology
2025

Netherton Syndrome: A Systematic Review of the Challenges of Diagnosis and Treatment.

Cureus
2026

Netherton Syndrome With Trichorrhexis Invaginata "Bamboo Hair" Under Dermoscopy: Case Images.

Clinical case reports
2025

The Therapeutic Efficacy and Safety of JAK Inhibitors and Protease Inhibitors for Netherton Syndrome: A Systematic Review.

Journal of cutaneous medicine and surgery
2025

Netherton Syndrome - Responding to Oral Retinoids.

International journal of trichology
2026

Netherton syndrome: growth and endocrine assessment in a retrospective study of 37 paediatric patients.

The British journal of dermatology
2025

LEKTI-Grafted Sunflower Trypsin Inhibitor: A Potential Therapeutic for Skin Diseases.

Journal of medicinal chemistry
2025

Netherton Syndrome: A Case-Based Review of Diagnosis, Management, and Emerging Treatments.

Acta dermatovenerologica Croatica : ADC
2025

Preterm twin infant with Netherton syndrome.

BMJ case reports
2025

Netherton syndrome: effect on ichthyosis linearis circumflexa with dupilumab.

The Journal of dermatological treatment
2025

Immunological phenotype and skin modeling of Netherton syndrome.

Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
2025

Atopic dermatitis in inborn errors of immunity: at the interface of immunodeficiency and immune dysregulation.

Immunologic research
2025

Clinical and immunological characterization of a Netherton syndrome infant with a large SPINK gene cluster deletion and a c.1258A>G polymorphism in SPINK5.

Frontiers in immunology
2025

A Case of Netherton Syndrome/SPINK5-Syndromic Epidermal Differentiation Disorder Evaluated by Serial Tape-Stripping: Persistent Elevation of Serine Protease Activities Despite Clinical Improvement.

The Journal of dermatology
2025

Clinical characteristics of Netherton syndrome and exploration of targeted biologic therapy: two case reports.

Frontiers in allergy
2025

Unveiling serine protease activity profiles in Netherton syndrome skin across clinical subtypes by noninvasive analysis.

American journal of physiology. Cell physiology
2025

Netherton Syndrome: A Comprehensive Literature Review of Pathogenesis, Clinical Manifestations, and Therapeutic Strategies.

Journal of mother and child
2025

Biologics and Small-Molecule Therapies in Netherton Syndrome: A Comprehensive Review.

The Journal of dermatology
2025

Dupilumab improves skin microbiome in a paediatric case of Netherton syndrome.

Journal of the European Academy of Dermatology and Venereology : JEADV
2025

The Clinical Spectrum of Rare Inherited Ichthyosis in China: A Review of Thirty-five Cases.

Acta dermato-venereologica
2025

Successful management of Netherton syndrome using IVIG and dupilumab: A case report.

The journal of allergy and clinical immunology. Global
2025

Global Burden of Allergies: Mechanisms of Development, Challenges in Diagnosis, and Treatment.

Life (Basel, Switzerland)
2025

Skin lamellar bodies: a unique set of lysosome-related organelles.

Frontiers in cell and developmental biology
2025

Netherton Syndrome Perspectives.

Current pediatric reviews
2025

Bilateral renal vein thrombosis in a preterm with Netherton syndrome.

Pediatric nephrology (Berlin, Germany)
2025

[Clinical feature and genetic analysis of a preterm infant with Netherton syndrome due to variants of SPINK5 gene].

Zhonghua yi xue yi chuan xue za zhi = Zhonghua yixue yichuanxue zazhi = Chinese journal of medical genetics
2025

Blocking of IL-4/IL-13 Signalling With Dupilumab Results in Restoration of Serum and Cutaneous Abnormalities in Netherton Syndrome.

Experimental dermatology
2025

Omalizumab: a broader role in dermatology? Evidence and the road ahead.

Italian journal of dermatology and venereology
2025

Secukinumab as a Novel Treatment for Chronic Netherton Syndrome in a Young Adult.

The American journal of case reports
2025

Management of congenital ichthyoses: guidelines of care: Part two: 2024 update.

The British journal of dermatology
2025

Syndromic epidermal differentiation disorders: a new classification toward pathogenesis-based therapy.

The British journal of dermatology
2025

Abrocitinib alleviates the symptoms of Netherton syndrome and is well tolerated.

The Journal of dermatological treatment
2025

Hyper IgE Syndromes: Understanding, Management, and Future Perspectives: A Narrative Review.

Health science reports
2025

Chemical Suppression of KLK5 and KLK7 Rescues Barrier Integrity in a Netherton Syndrome Model.

Experimental dermatology
2025

The role of SPINK5 mutation distribution in phenotypes of Netherton syndrome.

Frontiers in genetics
2025

Systemic JAK inhibitors for treatment of cutaneous manifestations in a patient with SPINK5 variants: A case report and review of the literature.

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
2024

Dupilumab in a 9-week-old with Netherton Syndrome Leads to Deep Symptom Control.

Journal of clinical immunology
2025

Developing a Core Outcome Set for Netherton Syndrome: An International Multi-Stakeholder e-Delphi Consensus Study.

Dermatology (Basel, Switzerland)
2024

Polysaccharide, Conjugate, and mRNA-based Vaccines are Immunogenic in Patients with Netherton Syndrome.

Journal of clinical immunology
2025

Biologics in congenital ichthyosis: are they effective?

The British journal of dermatology
2024

Rapid identification of primary atopic disorders (PAD) by a clinical landmark-guided, upfront use of genomic sequencing.

Allergologie select
2024

Spesolimab, the first-in-class anti-IL-36R antibody: From bench to clinic.

The Journal of dermatology
2025

Upadacitinib shows efficacy in Netherton syndrome with poor response to Dupilumab.

The Journal of dermatology
2024

Interleukin-36 Is Highly Expressed in Skin Biopsies from Two Patients with Netherton Syndrome.

Dermatopathology (Basel, Switzerland)
2024

A combination therapy with secukinumab and dupilumab in Netherton syndrome: A prospective pilot study.

Journal of the American Academy of Dermatology
2025

Treatment of Netherton syndrome with spesolimab.

Journal of the European Academy of Dermatology and Venereology : JEADV
2024

Netherton Syndrome in Thai Children: A Report of Two Cases With a Literature Review.

Cureus
2025

A Netherton syndrome infant complicated with infective endocarditis.

The Journal of dermatology
2024

Successful treatment of dupilumab-resistant scaly erythroderma in Netherton syndrome with baricitinib: A case report.

The Journal of dermatology
2024

Recombinant scFv-Fc Anti-kallikrein 7 Antibody-Loaded Thermosensitive Hydrogels Against Skin Desquamation Disorders.

ACS applied bio materials
2024

Measurement of clinical outcomes of Netherton syndrome following treatment with upadacitinib.

The Journal of dermatology
2024

Effective treatment of topical corticosteroid-resistant dermatitis with delgocitinib in a pediatric patient with Netherton syndrome.

The Journal of dermatology
2024

The role of interleukin-36 in health and disease states.

Journal of the European Academy of Dermatology and Venereology : JEADV
2024

Two Incidental Sibling Diagnoses of Netherton Syndrome in Separate Visits: A Case Report.

Cureus
2024

Netherton syndrome-A therapeutic challenge in childhood.

Clinical case reports
2025

Treatment of Netherton Syndrome in Pediatrics with Upadacitinib.

Alternative therapies in health and medicine
2024

Interprofessional Collaboration: Differentiating Netherton Syndrome and Atopic Dermatitis in an African American Infant.

Cureus
2024

Development of a back-titration assay to quantitate functional lympho-epithelial Kazal-type inhibitors (LEKTI) in skin samples.

Analytical biochemistry
2024

Erythrokeratodermia Variabilis-like Phenotype in Patients Carrying ABCA12 Mutations.

Genes
2024

Personal, financial and time burden in inherited ichthyoses: A survey of 144 patients in a university-based setting.

Journal of the European Academy of Dermatology and Venereology : JEADV
2023

Dermoscopic and reflectance confocal microscopy features of Netherton syndrome.

European journal of dermatology : EJD
2024

Successful infliximab treatment in siblings with Netherton syndrome: Unveiling a novel SPINK5 gene variant and literature review.

The Australasian journal of dermatology
2024

Netherton Syndrome with a Novel Likely Pathogenic Variant c.420del (p.Ser141ProfsTer5) in SPINK5 Gene: A Case Report.

Case reports in dermatology
2024

Netherton syndrome and papillomatous lesions-Should we perform human papilloma virus vaccination?

Journal of the European Academy of Dermatology and Venereology : JEADV
2024

Vulvovaginal involvement in Netherton syndrome: A case report.

JAAD case reports
2024

Comparative analyses of Netherton syndrome patients and Spink5 conditional knock-out mice uncover disease-relevant pathways.

Communications biology
2024

[A case of neonatal Netherton syndrome].

Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics
2024

Emerging Role of the IL-36/IL-36R Axis in Multiple Inflammatory Skin Diseases.

The Journal of investigative dermatology
2024

Biologics for inherited disorders of keratinisation: A systematic review.

The Australasian journal of dermatology
2023

Case report: Interleukin-17 targeted biological therapy in netherton syndrome.

Frontiers in pediatrics
2023

The realistic positioning of UVA1 phototherapy after 25 years of clinical experience and the availability of new biologics and small molecules: a retrospective clinical study.

Frontiers in medicine
2023

Unique Usages of Dehydrated Human Amnion Chorion Membrane Allografts in Dermatology.

Journal of drugs in dermatology : JDD
2023

Severe Hypernatremia as Presentation of Netherton Syndrome.

Global medical genetics
2024

Pulsed dye laser for facial erythema in Netherton syndrome.

Journal of the European Academy of Dermatology and Venereology : JEADV
2023

Secukinumab for Netherton syndrome: a Malaysian experience.

Clinical and experimental dermatology
2023

Multidimensional response of Dupilumab in a child affected by Netherton syndrome: Improvement of trichorrhexis invaginata.

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
2023

Treatment of Netherton syndrome with upadacitinib.

Clinical and experimental dermatology
2023

Mini-PBPK-Based Population Model and Covariate Analysis to Assess the Complex Pharmacokinetics and Pharmacodynamics of RO7449135, an Anti-KLK5/KLK7 Bispecific Antibody in Cynomolgus Monkeys.

The AAPS journal
2023

Oral Tofacitinib Therapy for the Effective Management of Netherton Syndrome.

Cureus
2023

Intravenous immunoglobulin for the management of Netherton syndrome.

Indian journal of dermatology, venereology and leprology
2023

Dupilumab in paediatric Netherton syndrome: Can we do better?

The Australasian journal of dermatology
2023

Netherton Syndrome Caused by Heterozygous Frameshift Mutation Combined with Homozygous c.1258A>G Polymorphism in SPINK5 Gene.

Genes
2023

Report of two sisters with Netherton syndrome successfully treated with dupilumab and review of the literature.

International journal of immunopathology and pharmacology
2023

Dupilumab in Inflammatory Skin Diseases: A Systematic Review.

Biomolecules
2023

Treatment of Netherton Syndrome With Abrocitinib.

JAMA dermatology
2023

Clinical and genetic characterization of Netherton syndrome due to SPINK5 founder variant in Latvian population.

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
2023

Giant condyloma of Buschke-Löwenstein in a Netherton syndrome patient, successfully treated with cryotherapy and intravenous immunoglobulin.

The Journal of dermatology
2022

Netherton Syndrome in a Mother and Her Two Children.

South Dakota medicine : the journal of the South Dakota State Medical Association
2023

Long-term dupilumab therapy in Netherton syndrome with severe atopic manifestations: Case report and review of the literature.

The Australasian journal of dermatology
2023

Dupilumab zur Behandlung von Genodermatosen: Eine systematische Übersicht.

Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
2023

Prevalence of and risk factors for nutritional deficiency and food allergy in a cohort of 21 patients with Netherton syndrome.

Pediatric allergy and immunology : official publication of the European Society of Pediatric Allergy and Immunology
2023

Netherton syndrome in a Bulgarian patient : Presentation of a case and an update of therapeutic options.

Wiener medizinische Wochenschrift (1946)
2023

Effective treatment of Netherton syndrome in children with dupilumab: a case report and review of the literature.

International journal of dermatology
2023

Multiplex Proteomic Evaluation in Inborn Errors with Deregulated IgE Response.

Biomedicines
2023

Dupilumab in the treatment of genodermatosis: A systematic review.

Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
2022

Biological treatments for pediatric Netherton syndrome.

Frontiers in pediatrics
2022

Dupilumab improves clinical symptoms in children with Netherton syndrome by suppressing Th2-mediated inflammation.

Frontiers in immunology
2022

Dual antibody inhibition of KLK5 and KLK7 for Netherton syndrome and atopic dermatitis.

Science translational medicine
2023

Secukinumab: A life-changing treatment for Netherton syndrome?

Annales de dermatologie et de venereologie
2023

Ustekinumab therapy for Netherton syndrome.

The Journal of dermatology
2023

Netherton syndrome with chromosome 16p11.2 microduplication in a Chinese infant.

International journal of dermatology
2022

Treatment of Netherton syndrome with dupilumab.

Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG
2022

Establishment of a mouse model of Netherton syndrome based on CRISPR/Cas9 technology.

European journal of dermatology : EJD
2023

Clinical and molecular characteristics of autosomal recessive congenital ichthyosis in Thailand.

Pediatric dermatology
2022

A Netherton syndrome case report: Response to dupilumab treatment.

Dermatologic therapy
2023

Novel splice site mutation at the C-terminal of SPINK5 cause a unique Netherton syndrome phenotype mimicking pustular psoriasis.

Journal of the European Academy of Dermatology and Venereology : JEADV
2022

A novel mutation in SPINK5 gene underlies a case of atypical Netherton syndrome.

Frontiers in genetics
2022

Significant response to Pembrolizumab for metastatic cutaneous squamous cell carcinoma in patient with Netherton syndrome.

Annals of medicine and surgery (2012)
2022

Atopic Dermatitis-like Genodermatosis: Disease Diagnosis and Management.

Diagnostics (Basel, Switzerland)
2022

IgE Sensitization Profile in Patients with Netherton Syndrome.

International archives of allergy and immunology
2022

Multiscale modelling of desquamation in the interfollicular epidermis.

PLoS computational biology
2023

Treatment Experiences with Intravenous Immunoglobulins, Ixekizumab, Dupilumab, and Anakinra in Netherton Syndrome: A Case Series.

Dermatology (Basel, Switzerland)
2022

Lobelia chinensis Extract and Its Active Compound, Diosmetin, Improve Atopic Dermatitis by Reinforcing Skin Barrier Function through SPINK5/LEKTI Regulation.

International journal of molecular sciences
2022

New developments in the molecular treatment of ichthyosis: review of the literature.

Orphanet journal of rare diseases
2022

Phage Display Selected Cyclic Peptide Inhibitors of Kallikrein-Related Peptidases 5 and 7 and Their In Vivo Delivery to the Skin.

Journal of medicinal chemistry
2022

Distinct skin microbiome community structures in congenital ichthyosis.

The British journal of dermatology
2022

Secukinumab use in the treatment of Netherton's syndrome.

The Australasian journal of dermatology
2022

Outcomes of Systemic Treatment in Children and Adults With Netherton Syndrome: A Systematic Review.

Frontiers in immunology
2022

SPINK5 mutation and FLG gene deletion in an infant with Netherton syndrome.

Pediatrics international : official journal of the Japan Pediatric Society
2022

Transcriptomic Analysis of the Major Orphan Ichthyosis Subtypes Reveals Shared Immune and Barrier Signatures.

The Journal of investigative dermatology
2021

Human Tissue Kallikreins-Related Peptidases Are Targets for the Treatment of Skin Desquamation Diseases.

Frontiers in medicine
2022

Dupilumab Improves Pruritus in Netherton Syndrome: A Case Study.

Children (Basel, Switzerland)
2022

Proposal for a 6-step approach for differential diagnosis of neonatal erythroderma.

Journal of the European Academy of Dermatology and Venereology : JEADV
2022

Understanding immune profiles in ichthyosis may lead to novel therapeutic targets.

The Journal of allergy and clinical immunology
2023

Secukinumab responses vary across the spectrum of congenital ichthyosis in adults.

Archives of dermatological research
2022

Erythroderma in a neonate.

JAAD case reports
2022

The potential role for phage therapy for genetic modification of cutaneous diseases.

Clinics in dermatology
2022

A novel pathogenic variant in the corneodesmosin gene causing generalized inflammatory peeling skin syndrome with marked eosinophilia and trichorrhexis invaginata.

Pediatric dermatology
2022

Cocktails of KLK5 Protease Inhibitors and Anti-TNFα Therapeutics: an Effective Treatment for Netherton Syndrome.

Journal of clinical immunology
2021

Classic and Simultaneous Clinical Findings of an Exuberant Case of Netherton Syndrome: A Clinical Report.

Dermatology practical &amp; conceptual
2022

Analysis of the structure and function of the epidermal barrier in patients with ichthyoses-clinical and electron microscopical investigations.

Journal of the European Academy of Dermatology and Venereology : JEADV
2021

Skin Microbiota and Clinical Associations in Netherton Syndrome.

JID innovations : skin science from molecules to population health
2021

Journal club Update on systemic therapies in paediatric dermatology.

European journal of dermatology : EJD
2021

A Novel SPINK5 Gene Mutation Associated with Netherton Syndrome in an Omani Patient.

Sultan Qaboos University medical journal
2022

Keratinocyte differentiation and proteolytic pathways in skin (patho) physiology.

The International journal of developmental biology
2022

Successful treatment of Netherton syndrome with dupilumab: A case report and review of the literature.

The Journal of dermatology
2021

Netherton syndrome plus atopic dermatitis: Two new genetic mutations in the same patient.

Clinical case reports
2021

Hair microscopy: an easy adjunct to diagnosis of systemic diseases in children.

Applied microscopy
2022

Importance of Early Genetic Sequencing in Neonates Admitted to NICU with Recurrent Hypernatremia: Results of a Prospective Cohort Study.

Neonatology
2021

Trichorrhexis invaginata and ichthyosiform erythroderma in netherton syndrome.

Clinical case reports
2021

Netherton Syndrome: Case Report and Review of the Literature.

Skin appendage disorders
2022

Netherton syndrome subtypes share IL-17/IL-36 signature with distinct IFN-α and allergic responses.

The Journal of allergy and clinical immunology
2021

Syndecan-1 shedding by meprin β impairs keratinocyte adhesion and differentiation in hyperkeratosis.

Matrix biology : journal of the International Society for Matrix Biology
2021

Pili Torti: A Feature of Numerous Congenital and Acquired Conditions.

Journal of clinical medicine
2021

Vitamin D Status in Distinct Types of Ichthyosis: Importance of Genetic Type and Severity of Scaling.

Acta dermato-venereologica
2021

Generation of a quenched phosphonate activity-based probe for labelling the active KLK7 protease.

Organic &amp; biomolecular chemistry
2021

Highly branched poly(β-amino ester)s for gene delivery in hereditary skin diseases.

Advanced drug delivery reviews
2021

Netherton syndrome associated to Candida parapsilosis otomycosis.

BMJ case reports
2021

New compound heterozygous SPINK5 mutations in a Chinese infant with Netherton syndrome.

Journal of the European Academy of Dermatology and Venereology : JEADV
2021

A novel theranostic activity-based probe targeting kallikrein 7 for the diagnosis and treatment of skin diseases.

Chemical communications (Cambridge, England)
2021

Advances in gene therapy and their application to skin diseases: A review.

Journal of dermatological science
2021

Netherton Syndrome in Children: Management and Future Perspectives.

Frontiers in pediatrics
2021

Infliximab therapy in an infant with Netherton syndrome.

Pediatric dermatology
2021

Scalp roof tiles.: A new diagnostic sign in neonates with Netherton Syndrome.

Saudi medical journal
2021

Successful dupilumab treatment for ichthyotic and atopic features of Netherton syndrome.

Journal of dermatological science
2021

A Potent and Selective Kallikrein-5 Inhibitor Delivers High Pharmacological Activity in Skin from Patients with Netherton Syndrome.

The Journal of investigative dermatology
2021

Characteristics of children with Netherton syndrome: a review of 21 patients.

Journal of the European Academy of Dermatology and Venereology : JEADV
2022

Dupilumab: A Review of Present Indications and Off-Label Uses.

Journal of investigational allergology &amp; clinical immunology
2021

Establishment of an induced pluripotent stem cell line (SAHGMUi001-A) from a patient with Netherton syndrome carrying SPINK5 mutation.

Stem cell research
2021

Inborn Error of Immunity or Atopic Dermatitis: When to be Concerned and How to Investigate.

The journal of allergy and clinical immunology. In practice
2021

A novel SPINK5 donor splice site variant in a child with Netherton syndrome.

Molecular genetics &amp; genomic medicine
2021

Netherton syndrome caused by compound heterozygous mutation, c.80A>G mutation in SPINK5 and large-sized genomic deletion mutation, and successful treatment of intravenous immunoglobulin.

Molecular genetics &amp; genomic medicine
2021

The Whey Acidic Protein WFDC12 Is Specifically Expressed in Terminally Differentiated Keratinocytes and Regulates Epidermal Serine Protease Activity.

The Journal of investigative dermatology
2020

Generation of recombinant antibodies against human tissue kallikrein 7 to treat skin diseases.

Bioorganic &amp; medicinal chemistry letters
2020

A New Splice-site Mutation of SPINK5 Gene in the Netherton Syndrome with Different Clinical Features: A Case Report.

Balkan journal of medical genetics : BJMG
2020

Netherton syndrome: Temporary response to dupilumab.

Pediatric dermatology
2020

Glucosylated cholesterol in skin: Synthetic role of extracellular glucocerebrosidase.

Clinica chimica acta; international journal of clinical chemistry
2020

Protease-Activated Receptor-2 Regulates Neuro-Epidermal Communication in Atopic Dermatitis.

Frontiers in immunology
2020

A Case Report on Netherton Syndrome.

Cureus
2020

A novel SPINK5 mutation and successful subcutaneous immunoglobulin replacement therapy in a child with Netherton syndrome.

Pediatric dermatology
2021

Duality of Netherton syndrome manifestations and response to ixekizumab.

Journal of the American Academy of Dermatology
2020

NRF2 Augments Epidermal Antioxidant Defenses and Promotes Atopy.

Journal of immunology (Baltimore, Md. : 1950)
2020

Efficient CRISPR-Cas9-Mediated Gene Ablation in Human Keratinocytes to Recapitulate Genodermatoses: Modeling of Netherton Syndrome.

Molecular therapy. Methods &amp; clinical development
2020

Appending the appendages: New perspectives on Netherton syndrome and green nail syndrome.

Journal of the American Academy of Dermatology
2021

Initial Evidence of Distinguishable Bacterial and Fungal Dysbiosis in the Skin of Patients with Atopic Dermatitis or Netherton Syndrome.

The Journal of investigative dermatology
2020

Managing syndromic congenital ichthyosis at a tertiary care institute-Genotype-phenotype correlations, and novel treatments.

Dermatologic therapy
2020

Successful use of secukinumab in Netherton syndrome.

JAAD case reports
2020

Transepidermal water loss in the orphan forms of ichthyosis.

Pediatric dermatology
2021

The challenging management of a series of 43 infants with Netherton syndrome: unexpected complications and novel mutations.

The British journal of dermatology
2020

Successful treatment with dupilumab of an adult with Netherton syndrome.

Clinical and experimental dermatology
2020

Pathogenesis-Based Therapy With Repurposed Biologics for Monogenic Inflammatory Skin Disorders.

JAMA dermatology
2020

Secukinumab Therapy for Netherton Syndrome.

JAMA dermatology
2020

Genetic activation of Nrf2 reduces cutaneous symptoms in a murine model of Netherton syndrome.

Disease models &amp; mechanisms
2020

Netherton Syndrome: Insights into Pathogenesis and Clinical Implications.

The Journal of investigative dermatology
2020

Cathelicidin represents a new target for manipulation of skin inflammation in Netherton syndrome.

Biochimica et biophysica acta. Molecular basis of disease
2020

Next generation sequencing analysis of consecutive Russian patients with clinical suspicion of inborn errors of immunity.

Clinical genetics
2020

The matriptase-prostasin proteolytic cascade in dermatologic diseases.

Experimental dermatology
2020

Skin barrier lipid enzyme activity in Netherton patients is associated with protease activity and ceramide abnormalities.

Journal of lipid research
2020

Chronic diarrhea in an adolescent girl with a genetic skin condition.

Cutis
2020

Dermatoscopy of the hair compared to three alternatives for the diagnosis of pediatric Netherton syndrome.

The Journal of dermatology
2020

Transgenic Kallikrein 14 Mice Display Major Hair Shaft Defects Associated with Desmoglein 3 and 4 Degradation, Abnormal Epidermal Differentiation, and IL-36 Signature.

The Journal of investigative dermatology
2020

Inflammatory Vegetative Lesions of the Perineum: A Rare and Severe Clinical Presentation of Netherton Syndrome.

Acta dermato-venereologica
Ver todos os 329 no EuropePMC

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Doenças relacionadas

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Referências e fontes

Bases de dados externas citadas neste artigo

Publicações científicas

Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.

  1. SPINK5 Variants Drive Clinical Variability in Netherton Syndrome Through Th2/Th17 Skewing and Influence Therapeutic Outcomes.
    The journal of allergy and clinical immunology. In practice· 2026· PMID 41611084mais citado
  2. Dysregulated proteolytic cascades in Netherton syndrome: from molecular pathology to preclinical drug testing.
    The Journal of pathology· 2026· PMID 41511866mais citado
  3. Netherton Syndrome With Trichorrhexis Invaginata "Bamboo Hair" Under Dermoscopy: Case Images.
    Clinical case reports· 2026· PMID 41476815mais citado
  4. Efficacy of Upadacitinib in a Middle-Aged Man With Netherton Syndrome Refractory to Dupilumab: A Case Report.
    The Journal of dermatology· 2026· PMID 41793189mais citado
  5. Netherton Syndrome Masquerading as Pustular Psoriasis.
    Indian dermatology online journal· 2026· PMID 41717918mais citado
  6. Netherton Syndrome in a preterm newborn presenting with erythroderma and temperature instability: a case report.
    BMC Pediatr· 2026· PMID 41981412recente
  7. Hair Improvement in SPINK5-sEDD (Netherton Syndrome) With Dupilumab.
    Pediatr Dermatol· 2026· PMID 41972300recente
  8. Tape strips capture immune and epidermal hyperplasia markers in the major orphan ichthyoses.
    J Invest Dermatol· 2026· PMID 41966446recente
  9. Patients with congenital ichthyosis show differential activation of IL-23/Th17 pathway among various disease subtypes - A single-centre experience.
    Indian J Dermatol Venereol Leprol· 2026· PMID 41949191recente
  10. From Misdiagnosis to Molecular Insight: Lessons from Two ARCI Siblings Initially Treated as Netherton Syndrome.
    Dermatol Pract Concept· 2026· PMID 41912181recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:634(Orphanet)
  2. OMIM OMIM:256500(OMIM)
  3. MONDO:0009735(MONDO)
  4. GARD:7182(GARD (NIH))
  5. Variantes catalogadas(ClinVar)
  6. Busca completa no PubMed(PubMed)
  7. Q9390284(Wikidata)

Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.

Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar

Síndrome Netherton
Compêndio · Raras BR

Síndrome Netherton

ORPHA:634 · MONDO:0009735
Prevalência
1-9 / 1 000 000
Herança
Autosomal recessive
CID-10
Q80.8 · Outras ictioses congênitas
CID-11
Ensaios
8 ativos
Medicamentos
4 registrados
Início
Infancy, Neonatal
Prevalência
0.5 (Europe)
MedGen
UMLS
C0265962
EuropePMC
Wikidata
Papers 10a
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