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Living with Netherton syndrome

A rare inherited condition that affects the skin, hair, and immune system, starting in newborns.

Understanding Netherton syndrome

Netherton syndrome is a rare inherited condition that affects the skin, hair, and immune system.

Newborns have red, scaly skin that may leak fluid. Some are born with a tight, clear covering called a collodion membrane. Without normal skin protection, they are at risk of dehydration and skin infections. Babies may fail to grow and gain weight as expected. Health usually improves in older children and adults, though they often remain underweight and short. Itching is common.

Signs & symptoms

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

  • Red, scaly skin from birth
  • Hair that is fine, sparse, or breaks easily
  • Eczema and itching
  • Asthma and allergies
  • Recurrent infections
  • Trouble absorbing food (malabsorption)

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 allergy and immune system specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in SPINK5 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 and Immune Deficiency Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Allergy and immune system specialists (allergists / immunologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Foundation for Ichthyosis and Related Skin Types, 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 Jeffrey Modell 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 SPINK5 gene?
How can we care for skin and prevent dehydration and infection?
Which creams or ointments are safe for my skin?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesSPINK5

GARD lists changes in the SPINK5 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticSkin

Also known as: axial osteosclerosis with bamboo hair; bamboo hair syndrome; comel-netherton syndrome; comèl-netherton syndrome; erythroderma, ichthyosiform, with hypotrichosis and hyper-ige; ichthyosis, netherton syndrome

Patient organizations

Source: NIH GARD · Netherton syndromeGARD ID 7182 · 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 Netherton syndrome.

Explore the Netherton syndrome blog

Explore research for Netherton syndrome

Explore actively recruiting Netherton syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Netherton syndrome with HealthSpark. Share your city to explore research near you.

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

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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