The Daily Papule

JAAD

A patient with CHILD syndrome mimicking Hailey-Hailey disease: A diagnostic challenge.

Zhang X, Zhong Z, Wang H, Xue R, Lin Z

Journal of the American Academy of DermatologyIn the feed 10 Aug 2026, published online 10 Aug 2026, issue 2026 Aug 10, added to PubMed 10 Aug 2026

Topics: Genetic skin diseaseChildrenTopical treatments

Abstract

Congenital hemidysplasia with ichthyosiform erythroderma and limb defects syndrome is a rare disorder in which atypical presentations may delay diagnosis. We report a molecularly confirmed case mimicking Hailey-Hailey disease without classical unilateral involvement or skeletal abnormalities. This case highlights an important diagnostic pitfall, emphasizes the value of NSDHL genetic testing, and demonstrates the clinical benefit of pathogenesis-directed topical simvastatin/cholesterol therapy.

Abstract from PubMed

PMID 42575321 · DOI 10.1016/j.jaad.2026.08.020