Hailey-Hailey disease
The cause of the disease is a defect
in the calcium
pump gene which is located on
chromosome 3.
This causes the cells of the skin to
not adhere together properly,
causing the blisters and rashes.
There is no cure.
Treatment
Topical steroid preparations
have some effect during outbreaks, but do
not stop them. Drugs such as antibiotics,
antifungals, corticosteroids, dapsone,
methotrexate, thalidomide, etretinate,
cyclosporine and, most recently,
intramuscular alefacept may control the
disease but are ineffective for severe
chronic or relapsing forms of the disease.
Injections of
botulinum toxin to inhibit
perspiration may help. Maintaining a healthy
weight, avoiding heat and friction of
affected areas, and keeping the area clean
and dry work about as well.
Some have found relief in
laser resurfacing that burns off the top
layer of the epidermis,
allowing healthy non-affected skin to
re-grow in its place.
Secondary bacterial, fungal
and/or viral infections are common and may
exacerbate an outbreak. Some patients have
found that outbreaks are triggered by
certain foods, hormone cycles and stress.
Palmar-Plantar Keratodermas
Pachyonychia Congenita
Extensive Epidermal Nevi
Erthrokeratodermas


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