PUBLISHER: DelveInsight | PRODUCT CODE: 1340020
PUBLISHER: DelveInsight | PRODUCT CODE: 1340020
DelveInsight's 'Netherton Syndrome - Epidemiology Forecast - 2032' report delivers an in-depth understanding of Netherton Syndrome, historical and forecasted epidemiology, as well as the trends in the United States, EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan.
Netherton syndrome is a rare and severe genetic autosomal recessive disorder of ichthyosis, often present at birth or in the first few weeks of life, where the skin is red with fine dry scales. The condition lasts for a lifetime, but the severity can vary from person to person.
It occurs due to loss of function mutations in the serine peptidase inhibitor Kazal type 5 (SPINK5) gene that encodes lymphoepithelial Kazal-type-related inhibitor (LEKTI). LEKTI is crucial in regulating certain enzymes responsible for skin barrier function. Additionally, LEKTI inhibits kallikrein-related peptidases, such as KLK7, and the epidermal elastase 2 (ELA2) that are reported to play major roles in Netherton syndrome pathology.
Netherton syndrome can be identified by ichthyosiform (scaly) erythroderma, a unique hair shaft defect known as trichorrhexis invaginata, and atopic symptoms. They often include symptoms such as failure to thrive, susceptibility to infections, reddish skin, and high body temperature.
Newborns affected with Netherton syndrome are classically presented with congenital IE (generalized redness and scaling of the skin), with variable intensity and extension. Hair, eyebrows, and eyelashes can be absent at birth and grow slowly or are present and subsequently become abnormal.
The neonatal period is critical with high morbidity and life-threatening complications, including hypernatremic dehydration due to a severe skin barrier defect, hypothermia, recurrent skin, respiratory tract, systemic infections, and gastrointestinal symptoms, including abdominal pain, vomiting, and diarrhea. Furthermore, Netherton syndrome patients can also develop papillomatous skin lesions, particularly in the groin, perineal and genito-anal regions. Squamous cell carcinomas of the skin have also been reported in a few cases of adult Netherton syndrome patients.
The diagnosis of Netherton syndrome is based on clinical features, family history, and genetic testing to identify mutations in the SPINK5 gene. Other types of testing, such as a close examination of the hair and a skin biopsy to obtain a small skin sample for examination under the microscope, can also be helpful for diagnosis.
As hair shaft defect is not always present even in severe Netherton syndrome patients, the diagnosis is routinely confirmed by histology and molecular analyses. The histological examination of a skin biopsy shows marked epidermal hyperplasia with elongated and enlarged rete ridges, stratum corneum detachment, lack of or reduced granular layer, and variable cell infiltrates in the papillary dermis. Additionally, Netherton syndrome is diagnosed based on the symptoms and confirmed by genetic testing for changes in the SPINK5 gene. Identifying a germline SPINK5 mutation by DNA sequencing supports the diagnosis; however, the cost of performing DNA sequencing analysis limits its use in the diagnosis.
Often babies or children are not diagnosed for months or even years as red skin at birth can be a symptom of other conditions, such as other types of ichthyosis, severe eczema, or other forms of immune deficiency. Thus, differential diagnosis plays an important role.
The disease epidemiology covered in the report provides historical as well as forecasted epidemiology segmented by diagnosed prevalent cases of Netherton syndrome and gender-specific cases of Netherton syndrome in the 7MM covering the United States, EU4 (Germany, France, Italy, and Spain) and the United Kingdom, and Japan from 2019 to 2032.
Study Period: 2019-2032.