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Living with Familial benign pemphigus

A rare inherited skin condition (Hailey-Hailey disease) with red, raw, blistered skin in skin folds.

Understanding Familial benign pemphigus

Familial benign pemphigus (Hailey-Hailey disease) is a rare skin condition that usually begins in early adulthood.

Red, raw, blistered areas appear most often in skin folds, such as the groin, armpits, neck, and under the breasts. They can become crusty or scaly and itch and burn. They tend to get worse with sweat, friction, and hot weather. Skin may get infected, causing pain and odor. Many people have white lines along their fingernails.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Red, raw, blistered skin
  • Skin erosions
  • Crusty or scaly patches
  • Itching and burning
  • Thickened skin
  • White lines along the fingernails

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in ATP2C1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    Foundation for Ichthyosis and Related Skin Types may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Foundation for Ichthyosis and Related Skin Types
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Foundation for Ichthyosis and Related Skin Types and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What can I do to reduce flares in hot weather?
How should skin infections be treated?
Can genetic testing for the ATP2C1 gene confirm this diagnosis?

Quick facts

Symptoms usually startAdult
InheritanceAutosomal Dominant
GenesATP2C1

Changes in the ATP2C1 gene cause this condition. It is autosomal dominant, which means a change in one copy of the gene can cause it.

GeneticSkin

Also known as: benign chronic familial pemphigus of hailey-hailey; benign chronic pemphigus; benign familial chronic pemphigus; familial benign chronic pemphigus; hailey hailey disease; hailey-hailey disease

Patient organizations

Source: NIH GARD · Familial benign pemphigusGARD ID 6559 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Familial benign pemphigus.

Explore the Familial benign pemphigus blog

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Explore actively recruiting Familial benign pemphigus studies with HealthSpark.

HealthSpark

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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