Interventional treatments for Hailey-Hailey disease

J Am Acad Dermatol. 2017 Mar;76(3):551-558.e3. doi: 10.1016/j.jaad.2016.08.039. Epub 2016 Oct 13.

Abstract

Hailey-Hailey disease or familial benign chronic pemphigus is a rare blistering dermatosis that is characterized by recurrent erythematous plaques with a predilection for the skin folds. For extensive Hailey-Hailey disease that is recalcitrant to conventional therapy, laser ablation, photodynamic therapy, electron beam radiotherapy, botulinum toxin type A, dermabrasion, glycopyrrolate, and afamelanotide have been reported as useful treatments, but comparative trials are lacking. This review discusses the various treatment modalities for Hailey-Hailey disease and a summary of the evidence for the most recommended treatments.

Keywords: Hailey-Hailey disease; botulinum toxin type A; familial benign chronic pemphigus; interventional treatments; laser ablation; recalcitrant Hailey-Hailey disease.

Publication types

  • Review

MeSH terms

  • Antioxidants / therapeutic use
  • Botulinum Toxins, Type A / therapeutic use
  • Catheter Ablation
  • Dermabrasion
  • Glycopyrrolate / therapeutic use
  • Humans
  • Laser Therapy*
  • Muscarinic Antagonists / therapeutic use
  • Neurotoxins / therapeutic use
  • Pemphigus, Benign Familial / therapy*
  • Photochemotherapy*
  • Radiotherapy
  • alpha-MSH / analogs & derivatives
  • alpha-MSH / therapeutic use

Substances

  • Antioxidants
  • Muscarinic Antagonists
  • Neurotoxins
  • alpha-MSH
  • Botulinum Toxins, Type A
  • afamelanotide
  • Glycopyrrolate