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Living with Subcorneal pustular dermatosis

A rare skin condition with pus-filled bumps in skin folds, most common in middle-aged adults and not an infection.

Understanding Subcorneal pustular dermatosis

Subcorneal pustular dermatosis (SPD) is a rare skin condition in which pus-filled bumps form under the top layer of skin.

It is most common in middle-aged adults, particularly women, but can develop in children. Bumps usually appear over a few hours and join into round or wavy patterns. They often form where skin touches or rubs, such as the groin, underarms, inner elbows, and backs of the knees. The bumps are not infected and it is not contagious. It may be linked to autoimmune and blood diseases, infections, and cancers.

Signs & symptoms

Symptoms vary from person to person. GARD lists these:

  • Pus-filled bumps (pustules)
  • Redness of the skin
  • Mild itching
  • Mild pain
  • Darkened patches of skin

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 skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Skin, hair, and nail specialists (dermatologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
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 Children's Skin Disease Foundation
  • 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
Is a skin biopsy needed to confirm this?
Should I be checked for related conditions?
How can I prevent flares in skin folds?

Quick facts

Symptoms usually startAdult

GARD says the cause is not known. There is no evidence it is inherited, and it may be linked to other conditions or, rarely, to some medicines.

Skin

Also known as: pustulosis subcornealis; sneddon-wilkinson disease; sneddon-wilkinson disease or syndrome; sneddon-wilkinson syndrome; subcorneal pustular dermatitis

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Subcorneal pustular dermatosisGARD ID 13606 · 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 Subcorneal pustular dermatosis.

Explore the Subcorneal pustular dermatosis blog

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Explore actively recruiting Subcorneal pustular dermatosis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Subcorneal pustular dermatosis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • 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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