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Benign chronic familial pemphigus of Hailey-Hailey is characterized by rhagades mostly located in the armpits, inguinal and perineal folds (scrotum, vulva).
Data assembled from 7 of 12 sources · Last updated Oct 3, 2026, 5:08 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Common questions about Hailey-Hailey disease
Features include very common findings: Erythema, Thickened, rough skin (hyperkeratosis), Acantholysis, and Skin erosion and others.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Skin | 4 | Erythema, Thickened, rough skin (hyperkeratosis), Skin erosion |
ATP2C1 encodes ATPase secretory pathway Ca2+ transporting 1 (919 aa). ATP-driven pump that supplies the Golgi apparatus with Ca(2+) and Mn(2+) ions, both essential cofactors for processing and trafficking of newly synthesized proteins in the secretory pathway. Highest expression in Cells EBV-transformed lymphocytes (58.9 TPM) and Cells Cultured fibroblasts (54.7 TPM).
Hailey-Hailey disease is associated with mutations in the ATP2C1 gene on chromosome 3.
The ATP2C1 protein participates in ATP2C1/2:Mg2+ transport cytosolic Ca2+ to Golgi lumen pathway.
ATP2C1 is classified as a druggable target (Druggable Genome, Enzyme, and Transporter categories) with score 0.9.
Genetic testing for ATP2C1 is available. Testing is considered confirmatory for diagnosis.
No approved treatments are currently available for Hailey-Hailey disease. An additional 2 compounds hold orphan drug designation.
While no drugs are FDA-approved specifically for Hailey-Hailey disease, some of the following designated compounds may be used off-label in clinical practice. Treatment decisions should be made in consultation with a specialist familiar with this condition.
The following drugs have received orphan drug designation from the FDA for Hailey-Hailey disease. Orphan designation reflects regulatory interest and does not indicate approval for treatment.
Brand Name | Generic Name | Sponsor | Designated | Exclusivity End | Designation Status |
|---|---|---|---|---|---|
a replication-defective, non-integrating herpes simplex virus type 1 (HSV-1)-based vector engineered to express full-length human ATPase Secretory Pathway Calcium Transporting 1 (ATP2C1) | a replication-defective, non-integrating herpes simplex virus type 1 (HSV-1)-based vector engineered to express full-length human ATPase Secretory Pathway Calcium Transporting 1 (ATP2C1) | Krystal Biotech, Inc. | 2025 | — | Designated |
afamelanotide | afamelanotide | Clinuvel, Inc. | 2014 | — | Designated |
Gene therapy approaches for Hailey-Hailey disease have been reported in the published literature.
View trials for Hailey-Hailey disease
Phenotype severity distribution: 5 very common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for Hailey-Hailey disease.
109 publications have been identified in PubMed for Hailey-Hailey disease. Kisho has analyzed 87 by research type. Research spans Case Report / Case Series (43%), Review / Meta-Analysis (31%), and Other (10%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 37 | 43% |
Research summaries | 27 | 31% |
Other research | 9 | 10% |
Laboratory research | 5 | 6% |
Disease patterns and progression | 4 | 5% |
New treatment approaches | 4 | 5% |
Clinical study results | 1 | 1% |
Wang Y (2026). [PMID: 41845571](https://pubmed.ncbi.nlm.nih.gov/41845571/). *Int J Dermatol*. [Review / Meta-Analysis]
Justice J (2026). [PMID: 41725040](https://pubmed.ncbi.nlm.nih.gov/41725040/). *Int J Dermatol*. [Gene Therapy / Novel Therapeutics]
Gupta P (2026). [PMID: 40975797](https://pubmed.ncbi.nlm.nih.gov/40975797/). *Indian Dermatol Online J*. [Case Report / Case Series]
Zalla KT (2026). [PMID: 40525691](https://pubmed.ncbi.nlm.nih.gov/40525691/). *Dermatol Surg*. [Case Report / Case Series]
Schmieder SJ (2026). [PMID: 30137841](https://pubmed.ncbi.nlm.nih.gov/30137841/). *Unknown Journal*. [Review / Meta-Analysis]
Maekawa M (2026). [PMID: 42158788](https://pubmed.ncbi.nlm.nih.gov/42158788/). *Cureus*. [Case Report / Case Series]
Zhu L (2026). [PMID: 41536220](https://pubmed.ncbi.nlm.nih.gov/41536220/). *Acta Derm Venereol*. [Case Report / Case Series]
Antoñanzas J (2026). [PMID: 41856431](https://pubmed.ncbi.nlm.nih.gov/41856431/). *Actas Dermosifiliogr*. [Case Report / Case Series]
Balado-Simó P (2026). [PMID: 41418906](https://pubmed.ncbi.nlm.nih.gov/41418906/). *Actas Dermosifiliogr*. [Review / Meta-Analysis]
Zhou MH (2026). [PMID: 41730429](https://pubmed.ncbi.nlm.nih.gov/41730429/). *J Am Acad Dermatol*. [Review / Meta-Analysis]
AI-curated news mentioning Hailey-Hailey disease
Updated Jun 3, 2026
A case report highlights the use of localized infrared hyperthermia as an adjunctive therapy for long-standing Hailey-Hailey disease. This innovative approach may offer new insights into treatment options for this rare skin condition.
Researchers identified novel mutations in the ATP2C1 gene among a Spanish cohort of patients with Hailey-Hailey disease. This discovery enhances the understanding of the genetic basis of this rare skin disorder.
A study published in PubMed demonstrates significant improvement in recalcitrant Hailey-Hailey disease using topical ruxolitinib 1.5% cream. This finding highlights a potential new treatment avenue for this rare epidermal differentiation disorder.