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Living with Neonatal inflammatory skin and bowel disease

A rare inherited condition with long-lasting inflammation of the skin and bowel, repeated infections, and hair differences, from the newborn period.

Understanding Neonatal inflammatory skin and bowel disease

Neonatal inflammatory skin and bowel disease is a rare inherited condition that causes inflammation of the skin and bowel from early life.

It is an autoinflammatory syndrome with an immune system problem. Inflammation starts early and lasts a lifetime, along with repeated infections. People have red, scaly rashes with pimples around the mouth and bottom, slow weight gain from long-lasting diarrhea and poor absorption of food, and hair that is absent, short, or broken.

Signs & symptoms

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

  • Red, scaly rash with pimples
  • Bloody diarrhea
  • Rash around the bottom (perianal dermatitis)
  • Repeated skin and stomach infections
  • Slow-growing scalp hair
  • Inflamed eyelids (blepharitis)

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 autoimmune and inflammatory disease specialists, allergy and immune system specialists, brain and nervous system specialists and digestive system specialists.

  3. Consider genetic testing

    Changes in ADAM17 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

    Immune Deficiency Foundation may keep lists of experts for this condition.

Care & treatment

Care team
autoimmune and inflammatory disease specialists (rheumatologists); Allergy and immune system specialists (allergists / immunologists); Brain and nervous system specialists (neurologists); Digestive system specialists (gastroenterologists)
Expert care
Expert lists: Immune Deficiency Foundation
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 Immune Deficiency Foundation 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
Should we have genetic testing for the ADAM17 gene?
How can we manage feeding and absorption of food?
Which specialists should be on my child's care team?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesADAM17

GARD lists changes in the ADAM17 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticNeurologicalGastrointestinalSkin

Also known as: inflammatory skin and bowel disease, neonatal

Patient organizations

Source: NIH GARD · Neonatal inflammatory skin and bowel diseaseGARD ID 17355 · 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 Neonatal inflammatory skin and bowel disease.

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