ORPHA:51890
Anterior cutaneous nerve entrapment syndrome
Also known as: ACNES · Intercostal nerve syndrome · Rectus abdominis syndrome
Publications
21,761
Trials
16
Interventional, condition-specific
Researchers
995
Distinct authors in sample
Gene link
—
Readiness
3/6
Stages with a signal
Clinical definition (Orphanet)
A chronic neuropathic pain syndrome of the abdominal wall caused by entrapment of anterior cutaneous branches of 7 to 12th intercostal nerves along the lateral border of the anterior rectus abdominis fascia causing severe pain and tenderness of the involved dermatome.
How rare: How common this is has not been clearly measured.
Cross-references
Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.
- MONDO:0018873
- UMLS:C0393899
Additional Mondo synonyms (2)
intercostal nerve syndrome · rectus abdominis syndrome
Research stages
Trial readiness signals
Where this condition sits on an open-data research pipeline — not how close a treatment is, and not medical advice. Empty stages often mean “not in these databases under this Mondo ID,” not “impossible.”
3/6 stages with a signal
An interventional trial matched this condition name on ClinicalTrials.gov — see trials below.
- Gene identifiedNot found
No GenCC disease–gene assertion in this build
- LiteraturePresent
21,761 matched papers (13,050 in last 10 years) Source
- Phenotype characterisedPresent
17 HPO annotations (e.g. Hyperhidrosis; Anorexia; Impaired tactile sensation) Source
- Animal modelNot found
No Alliance genotype “model of” associations via Monarch for these Mondo IDs
- Orphan designationNot found
No FDA or EMA orphan-drug designation matched this disease via UMLS or preferred name Source
- Interventional trialPresent
16 matched on ClinicalTrials.gov (5 recruiting in sample)
Biology
Genes and phenotypes
Gene–disease validity from GenCC, plus phenotypes and animal models joined from Monarch Initiative via Mondo ID — not a clinical diagnosis aid.
Do we know what causes it?
Not yet — the cause hasn't been pinned down in GenCC.
No strong gene–disease assertion joined for this Orphanet entity.
Phenotypes (Monarch / HPO)
17
Associated phenotypes · MONDO:0018873
- Hyperhidrosis
- Anorexia
- Impaired tactile sensation
- Increased total leukocyte count
- Nausea
Showing 5 of 17 — open Monarch for the full list.
Animal models (Monarch / Alliance)
None returned for this Mondo ID. Empty here is not proof that no model organism work exists under another name or gene.
Monarch fetch 2026-07-29
Therapies
Designations, candidates, and chemicals
FDA OOPD and EMA orphan designations, Open Targets clinical candidates, and CTD chemical associations via MyDisease.info. These never change the interventional-trial headline.
Orphan designation (FDA · EMA)
No designation matched this disease via UMLS or preferred name on the FDA OOPD mirror or EMA orphan register. Absence here is not proof that none exists under another wording.
Open Targets candidates
No drugs or clinical candidates returned for this Mondo ID on Open Targets.
CTD chemicals (MyDisease.info)
No CTD chemical associations returned for this Mondo ID.
Literature
Is anyone studying this?
21,761
21,761 papers — among the better-studied rare conditions, though still a fraction of common-disease literature (breast cancer: over 700,000). Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=3967) is 59.
21,761 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 59 (publications denominator n=3967).
13,050 in the last 10 years · low confidence
Phrase hits: 21,761 · MeSH hits: 0
Who's working on it?
995
Distinct author names in 200 sampled papers — named people below.
Who's working on it?
People publishing on this condition (sampled Europe PMC records). Affiliation is the most recent found in that sample.
- 01Roumen RMH10 papers · 2026
Department of Surgery, Máxima Medical Center, Eindhoven/Veldhoven, The Netherlands.
Papers in Europe PMC - 02Scheltinga MRM10 papers · 2026
Department of Surgery, Máxima Medical Center, Eindhoven/Veldhoven, The Netherlands.
Papers in Europe PMC - 03Jacobs MLYE7 papers · 2026
Department of Surgery, Máxima Medical Center, Eindhoven/Veldhoven, The Netherlands.
Papers in Europe PMC - 04Watari T7 papers · 2026
Shimane University Faculty of Medicine Graduate School of Medicine, Izumo, Shimane, Japan wataritari@gmail.com.
Papers in Europe PMC - 05Zwaans WAR5 papers · 2026
Department of Surgery, Máxima Medical Center, Veldhoven, The Netherlands.
Papers in Europe PMC - 06Chen J4 papers · 2026
Department of Orthopaedic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Papers in Europe PMC - 07Ten Have T4 papers · 2025
Department of Surgery, Máxima Medical Centre, De Run 4600, P.O. Box 7777, 5500 MB, Eindhoven/Veldhoven, The Netherlands.
Papers in Europe PMC - 08Wang H4 papers · 2026
Department of Radiological intervention, Tianjin First Central Hospital, Tianjin 300192, China.
Papers in Europe PMC - 09Zhang M4 papers · 2026
Faculty of Information Engineering and Automation, Kunming University of Science and Technology, Kunming, 650031, China.
Papers in Europe PMC - 10Gerdes VEA3 papers · 2026
Department of Bariatric Surgery, Sparano Gasthuis, Spaarnepoort 1, 2134 TM, Hoofddorp, The Netherlands.
Papers in Europe PMC
Clinical research
Is a treatment being tested?
16
interventional trials for this specific condition
16 interventional trials matched this specific condition name; 5 currently recruiting in our sample.
Data as of 11 September 2026
16 interventional trials — more than 77.2% of diseases in the trials denominator have none at all (5501 of 7126; this disease is at the 94.2th percentile).
low confidence · 94.2th percentile (trials denominator)
Recruiting interventional trials
From the matched ClinicalTrials.gov set
16 interventional trials matched after quoted-phrase search and title/condition post-filter.
- NCT06379919·RECRUITING·Wound Irrigation Comparative Effectiveness Study
Not reviewed·Conditions: Cutibacterium Acnes Contamination·Matched via name phrase
- NCT06831422·RECRUITING·Post-incision Antimicrobial Wash vs C. Acnes in Shoulder Arthroplasty
Not reviewed·Conditions: Shoulder Arthroplasty · Positive C. Acnes Culture·Matched via name phrase
- NCT04028401·RECRUITING·Optimization of Skin Preparation to Reduce Cutibacterium Acnes Colonization in Superficial and Deep Samples During Prosthetic Shoulder Surgery in Male Patients
Not reviewed·Conditions: Cutibacterium Acnes Infection·Matched via name phrase
- NCT07406893·RECRUITING·Reduction of Bacterial Seeding in Total Shoulder Arthroplasty
Not reviewed·Conditions: Joint Arthroplasty · Shoulder · Cutibacterium Acnes · Prosthetic Joint Infection·Matched via name phrase
- NCT06121466·RECRUITING·Effect of Abdominal Wall Injections on Abdominal Pain
Not reviewed·Conditions: Anterior Cutaneous Nerve Entrapment Syndrome·Matched via name phrase
Observational and natural-history studies
4 observational studies match this condition. These do not test a treatment and are not counted in the interventional-trial headline, but they are genuine research: natural-history work often defines the endpoints needed for a future rare-disease trial, and families may be able to enroll.
Recruiting or not-yet-recruiting
- NCT07085247·RECRUITING·The Role of Cutibacterium Acnes in the Development of Degenerative Lumbar Intervertebral Disc Disease
Not reviewed·Conditions: Lumbar Disc Herniation · Lumbar Disc Degeneration · Cutibacterium Acnes · Low Back Pain·Matched via name phrase
Other registries (secondary)
Broader net from EU CTIS, ISRCTN, and ICTRP when available — deduped against ClinicalTrials.gov IDs already counted above. Dual-model LLM relevance gates what we keep. These rows are not added to the interventional headline.
raw 8 · after dedupe 8 · already on CT.gov 0 · kept 0 · parent 0 · uncertain 8 · dropped 0 · fetched 2026-07-29
Source notes: ictrp: Error: ICTRP public search unavailable (WHO portal is SPA-only; SOAP needs partnership). Tried: https://apps.who.int/tri
No secondary-registry studies passed dual-model relevance for this condition name (after dedupe).
Uncertain / not reviewed (8)
- isrctn·ISRCTN52474223·No longer recruiting·A comparison of the clinical efficacies of Intense Pulsed Light (IPL), PhotoDynamic Therapy (PDT) and adapalene in the treatment of mild to moderate acne vulgaris
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN73616060·Stopped·A preliminary observational study on the effect of pulsed dye laser treatment in patients with facial acne vulgaris.
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN21526350·No longer recruiting·Identification of the most cost effective, microbiologically safe antimicrobial treatments for acne
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17616237·No longer recruiting·Effects of phrenic nerve electrical stimulation on diaphragm function and weaning outcomes
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN17761785·No longer recruiting·Randomized clinical trial of transdermal fentanyl patch as part of fast-track thoracic surgery postoperative pain management protocol
skipped — LLM skipped (--skip-llm)
- isrctn·ISRCTN12472990·No longer recruiting·A сomparison of the different regional anesthesia methods efficacy in chronic pain syndrom prevention in lung cancer surgery
skipped — LLM skipped (--skip-llm)
- ctis·2024-515584-56-00·Authorised, ongoing·Optimization of skin preparation to reduce Cutibacterium acnes colonization in superficial and deep samples during prosthetic shoulder surgery in male patients (OPRICA)
skipped — LLM skipped (--skip-llm)
- ctis·2024-513534-38-00·Cancelled·The PHENOSAR trial: Antibiotic treatment of biopsy confirmed phenotypes in sarcoidosis: a proof of concept clinical trial.
skipped — LLM skipped (--skip-llm)
Where to find support
Condition-specific patient organisations, when Orphanet lists them, are on the disease’s Orphanet page. We also link umbrella groups that support undiagnosed and ultra-rare families.
Orphanet entry for Anterior cutaneous nerve entrapment syndrome — check Associations / patient organisations on that page.
India — NPRD
Last verified 2026-07-26This ORPHAcode is not on our curated NPRD list (direct or Mondo-parent match). That does not decide clinical eligibility; families in India should ask a notified Centre of Excellence about current coverage.
Hand-curated for this project. ORPHAcode mappings are best-effort and may be incomplete or imprecise for umbrella categories. Parent (Mondo) matches mean the policy lists a broader category — confirm eligibility with a Centre of Excellence. Financial entitlements summarised from public policy statements and may change. This is not official government guidance.
How we counted this
Europe PMC query (preferred label + any corrected label + Orphanet and Mondo exact synonyms, stoplisted; unioned with resolved MeSH labels when available). UMLS / OMIM / NCIT cross-references are stored on the overview but are not added to the query string.
"Anterior cutaneous nerve entrapment syndrome" OR "ACNES" OR "Intercostal nerve syndrome" OR "Rectus abdominis syndrome"
ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):
"Anterior cutaneous nerve entrapment syndrome" OR "ACNES" OR "Intercostal nerve syndrome" OR "Rectus abdominis syndrome"
Interventional trials matched via: phrase (mesh = registered under a MeSH descriptor no name phrase would catch; recall-expansion = gene / selected parent terms used only for trials).
Study-type breakdown: 16 interventional · 4 observational · 0 expanded access. Only interventional studies enter the trial headline.
Query health: ok — strategies attempted: phrase; with hits: phrase
Run this search on ClinicalTrials.gov
Confidence reasoning
- Preferred label is multi-word and distinctive
- No synonyms dropped by stoplist
- No label/synonym collisions with other diseases in this corpus
- Publication count (21761) is extremely high with unknown/missing prevalence — treat as possible over-matching, not proven research intensity
Ingested 2026-07-27T00:47:04.395Z
