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Features include always present findings: Failure to thrive in infancy, Limited elbow extension, Hypersplenism, and Short stature and others; and very common findings: Relative macrocephaly, Chronic lung disease, and Enlarged liver (hepatomegaly). 51 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Digestive system | 7 | Gastroesophageal reflux, Chronic diarrhea, Enlarged liver (hepatomegaly) |
ITCH encodes itchy E3 ubiquitin protein ligase (903 aa). Acts as an Acts as an E3 ubiquitin-protein ligase which accepts ubiquitin from an E2 ubiquitin-conjugating enzyme in the form of a thioester and then directly transfers the ubiquitin to targeted substrates. Highest expression in Testis (41.7 TPM) and Nerve Tibial (37.7 TPM).
Syndromic multisystem autoimmune disease due to ITCH deficiency is caused by mutations in the ITCH gene on chromosome 20.
ITCH is classified as a druggable target (Enzyme and Transcription Factor categories) with score 0.0.
Genetic testing for ITCH is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for syndromic multisystem autoimmune disease due to ITCH deficiency has been reported in the published literature.
Phenotype severity distribution: 35 always present features, 3 very common features, 5 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for syndromic multisystem autoimmune disease due to ITCH deficiency.
148 publications have been identified in PubMed for syndromic multisystem autoimmune disease due to ITCH deficiency. Research spans Review / Meta-Analysis (40%), Case Report / Case Series (28%), and Epidemiology / Natural History (12%).
Research Type | Count | % of Total |
|---|---|---|
Research summaries | 59 | 40% |
Data assembled from 7 of 12 sources · Last updated Sep 20, 2026, 12:24 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Bones and joints | 5 | Excessive inward curve of the lower back (lumbar hyperlordosis), Delayed skeletal maturation, Increased vertebral height |
Blood and immune system | 4 | Autoimmunity, Enlarged spleen (splenomegaly), Recurrent respiratory infections |
Hormones | 3 | Type I diabetes mellitus, Hashimoto thyroiditis, Hypothyroidism |
Growth and development | 2 | Failure to thrive in infancy, Short stature |
Muscles | 2 | Low muscle tone (hypotonia), Generalized hypotonia |
Head and neck | 2 | Relative macrocephaly, Abnormal facial shape |
Lungs and breathing | 2 | Chronic lung disease, Recurrent respiratory infections |
Heart and blood vessels | 1 | Portal hypertension |
Brain and nerves | 1 | Global developmental delay |
Eyes | 1 | Ptosis |
Age of onset: infancy.
Patient case studies |
42 |
28% |
Disease patterns and progression | 18 | 12% |
Laboratory research | 17 | 11% |
Testing and diagnosis research | 7 | 5% |
Clinical study results | 4 | 3% |
Other research | 1 | 1% |
Oumaima C (2026). [PMID: 42136441](https://pubmed.ncbi.nlm.nih.gov/42136441/). *Curr Rheumatol Rev*. [Case Report / Case Series]
Ren T (2026). [PMID: 41954819](https://pubmed.ncbi.nlm.nih.gov/41954819/). *Clin Rheumatol*. [Diagnostic / Biomarker]
Lam MT (2026). [PMID: 41638262](https://pubmed.ncbi.nlm.nih.gov/41638262/). *J Allergy Clin Immunol*. [Diagnostic / Biomarker]
Behbehani R (2026). [PMID: 42131163](https://pubmed.ncbi.nlm.nih.gov/42131163/). *Neuroophthalmology*. [Case Report / Case Series]
Gonzalez-Gay MÁ (2026). [PMID: 41819609](https://pubmed.ncbi.nlm.nih.gov/41819609/). *Lupus Sci Med*. [Basic Science / Preclinical]
Foeldvari I (2026). [PMID: 41638996](https://pubmed.ncbi.nlm.nih.gov/41638996/). *Best practice & research. Clinical rheumatology*. [Review / Meta-Analysis]
Zuo MXG (2026). [PMID: 42150436](https://pubmed.ncbi.nlm.nih.gov/42150436/). *Mol Genet Metab*. [Epidemiology / Natural History]
Marinella G (2026). [PMID: 41871482](https://pubmed.ncbi.nlm.nih.gov/41871482/). *Mol Genet Metab*. [Epidemiology / Natural History]
Orłowska SM (2026). [PMID: 42123224](https://pubmed.ncbi.nlm.nih.gov/42123224/). *J Clin Med*. [Review / Meta-Analysis]
Hilliquin S (2026). [PMID: 42097694](https://pubmed.ncbi.nlm.nih.gov/42097694/). *RMD Open*. [Case Report / Case Series]