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A rare chronic papulosquamous disorder of unknown etiology characterized by small follicular papules, scaly red-orange patches, and palmoplantar hyperkeratosis, which may progress to plaques or erythroderma. Although most of the cases are sporadic and acquired, a familial form of the disease exists.
Features include very common findings: Palmoplantar keratoderma, Erythroderma, Irregular hyperpigmentation, and Papule; and common findings: Subungual hyperkeratosis, Pruritus, Thickened skin, and Abnormal nail morphology. 20 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Skin | 10 | Subungual hyperkeratosis, Erythematous plaque, Palmoplantar keratoderma |
CARD14 encodes caspase recruitment domain family member 14 (1,004 aa). Acts as a scaffolding protein that can activate the inflammatory transcription factor NF-kappa-B and p38/JNK MAP kinase signaling pathways. Highest expression in Skin Sun Exposed Lower leg (21.0 TPM) and Skin Not Sun Exposed Suprapubic (18.9 TPM).
Familial pityriasis rubra pilaris is associated with mutations in the CARD14 gene on chromosome 17.
CARD14 is classified as a druggable target (Kinase and Transcription Factor categories) with score 0.0.
Genetic testing for CARD14 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for familial pityriasis rubra pilaris has been reported in the published literature.
Phenotype severity distribution: 4 very common features, 4 common features.
Estimated prevalence: 1-9 in 1,000,000 (Rare).
2 clinical trials registered. Interventions under study include drug therapy. Pipeline includes 1 PHASE4, 1 PHASE2. Research is primarily sponsored by academic and government institutions.
102 publications have been identified in PubMed for familial pityriasis rubra pilaris. Research spans Case Report / Case Series (44%), Review / Meta-Analysis (24%), and Other (17%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 45 | 44% |
Data assembled from 7 of 12 sources · Last updated Sep 19, 2026, 10:10 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Neoplasm |
1 |
Neoplasm |
Research summaries |
24 |
24% |
Other research | 17 | 17% |
Disease patterns and progression | 5 | 5% |
New treatment approaches | 4 | 4% |
Laboratory research | 3 | 3% |
Testing and diagnosis research | 2 | 2% |
Clinical study results | 2 | 2% |
Furudate S (2026). [PMID: 42183697](https://pubmed.ncbi.nlm.nih.gov/42183697/). *Eur J Dermatol*. [Case Report / Case Series]
Li Y (2026). [PMID: 41716399](https://pubmed.ncbi.nlm.nih.gov/41716399/). *Front Immunol*. [Case Report / Case Series]
Du Y (2026). [PMID: 41885793](https://pubmed.ncbi.nlm.nih.gov/41885793/). *Acta Derm Venereol*. [Case Report / Case Series]
Ferreirinha A (2026). [PMID: 41539158](https://pubmed.ncbi.nlm.nih.gov/41539158/). *An Bras Dermatol*. [Gene Therapy / Novel Therapeutics]
Dessinioti C (2026). [PMID: 41692081](https://pubmed.ncbi.nlm.nih.gov/41692081/). *Clin Dermatol*. [Review / Meta-Analysis]
Ziebart RL (2026). [PMID: 42175538](https://pubmed.ncbi.nlm.nih.gov/42175538/). *Int J Dermatol*. [Epidemiology / Natural History]
Jin S (2026). [PMID: 41563745](https://pubmed.ncbi.nlm.nih.gov/41563745/). *JAMA Dermatol*. [Gene Therapy / Novel Therapeutics]
Lin AJ (2026). [PMID: 42016654](https://pubmed.ncbi.nlm.nih.gov/42016654/). *Clin Case Rep*. [Review / Meta-Analysis]
Giorgio CMR (2026). [PMID: 42190205](https://pubmed.ncbi.nlm.nih.gov/42190205/). *Dermatol Pract Concept*. [Other]
Batchelor T (2026). [PMID: 41953854](https://pubmed.ncbi.nlm.nih.gov/41953854/). *JAAD Case Rep*. [Case Report / Case Series]