RARE DISEASERESEARCH ATLAS

ORPHA:79145

Dowling-Degos disease

high confidenceDisorder

Also known as: Reticular pigment anomaly of flexures

Publications

446

84th percentile

Trials

0

Interventional, condition-specific

Researchers

950

Distinct authors in sample

Gene link

KRT5

Definitive

Readiness

2/6

Stages with a signal

Clinical definition (Orphanet)

A rare, genetic, hyperpigmentation of the skin disease characterized by adulthood-onset of reticular, reddish-brown to dark-brown, macular and/or comedone-like, hyperkeratotic papules with hypopigmented macules, predominantly affecting flexural areas and, on occasion, progressing to involve trunk and acral regions. Histologically, epidermal acanthosis, thin, branch-like, rete ridges, and a tendency for acantholysis and pigmentary incontinence is observed.

How rare: How common this is has not been clearly measured.

Orphanet entry

Cross-references

Joined from Mondo / Orphanet. MeSH labels may enter searches; UMLS / OMIM / NCIT are stored for reference.

Additional Mondo synonyms (2)

Dowling-Degos disease type 1 · reticular pigment anomaly of flexures

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.”

2/6 stages with a signal

No matched interventional trial; the gene is known and literature exists — preclinical or natural-history work may still be the practical next step.

  1. Gene identifiedPresent

    Definitive — KRT5

  2. LiteraturePresent

    446 matched papers (283 in last 10 years) Source

  3. Phenotype characterisedNot checked

    Not yet enriched from Monarch / HPO

  4. Animal modelNot checked

    Not yet enriched from Monarch / Alliance

  5. Orphan designationNot checked

    FDA/EMA orphan-drug designation not enriched yet

  6. Interventional trialNot found

    No matched interventional trial under our ClinicalTrials.gov rules

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?

Yes — we know a specific gene responsible (KRT5).

GenCC classification: Definitive.

Phenotypes (Monarch / HPO)

Not enriched in this build — Monarch phenotype joins were not run for this record.

Animal models (Monarch / Alliance)

Not enriched in this build.

Literature

Is anyone studying this?

446

446 papers have ever been published on this condition (under this name). For scale, breast cancer has over 700,000. Median papers in the last 10 years for a rare disease in this dataset (publications denominator n=5449) is 41.

446 papers since the earliest indexed year in this search — median last-10-year count for a rare disease in this dataset is 41 (publications denominator n=5449).

283 in the last 10 years · high confidence · 84th percentile (publications denominator)

Phrase hits: 446 · MeSH hits: 13

Open Europe PMC search

Who's working on it?

950

Distinct author names in 200 sampled papers — named people below.

Who's working on it?

No interventional trial matched this name; these authors publish on it in the sampled literature — a practical starting point for contact.

  1. 01
    Betz RC11 papers · 2025

    Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany.

    Papers in Europe PMC
  2. 02
    Frank J8 papers · 2025

    Department of Dermatology, Venereology and Allergology, University Medical Center Göttingen, Göttingen, Germany.

    Papers in Europe PMC
  3. 03
    Ralser DJ7 papers · 2025

    Institute of Human Genetics, University of Bonn, School of Medicine & University Hospital Bonn, Bonn, Germany.

    Papers in Europe PMC
  4. 04
    Kumar S5 papers · 2026

    Institute of Human Genetics, University of Bonn, Medical Faculty & University Hospital Bonn, Bonn, Germany.

    Papers in Europe PMC
  5. 05
    Wenzel J5 papers · 2025

    Department of Dermatology, University of Bonn, Bonn, Germany.

    Papers in Europe PMC
  6. 06
    Crovella S4 papers · 2023

    Department of Advanced Diagnostics, Institute for Maternal and Child Health-IRCCS 'Burlo Garofolo', Trieste, Italy.

    Papers in Europe PMC
  7. 07
    Hanneken S4 papers · 2024

    Department of Dermatology, University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany. Hanneken@med.uni-duesseldorf.de

    Papers in Europe PMC
  8. 08
    Tricarico PM4 papers · 2023

    Department of Advanced Diagnostics, Institute for Maternal and Child Health-IRCCS 'Burlo Garofolo', Trieste, Italy.

    Papers in Europe PMC
  9. 09
    Agut-Busquet E3 papers · 2026

    Department of Dermatology, Hospital Universitari Parc Tauli, Universitat Autonoma de Barcelona, ES-08230 Matadepera, Spain. eagutbusquet@gmail.com.

    Papers in Europe PMC
  10. 10
    Al Hawsawi K3 papers · 2023

    Dermatology, King Abdulaziz Hospital, Makkah, SAU.

    Papers in Europe PMC

Clinical research

Is a treatment being tested?

0

interventional trials for this specific condition

No interventional trial testing a treatment matched this specific condition name on ClinicalTrials.gov (observational studies and pan-disease registries are listed separately when present).

Data as of 27 July 2026

No matched interventional trials. This is true for 73% of diseases in the trials denominator (5114 of 7003). Here are the researchers publishing on it.

high confidence · 36.5th percentile (trials denominator)

Recruiting interventional trials

From the matched ClinicalTrials.gov set

No interventional trial testing a treatment was found for this specific condition name on ClinicalTrials.gov.

See who's working on it — people publishing on this disease are often the practical next contact when no trial is listed.

Where to find support

We do not yet link condition-specific patient organisations. These umbrella groups support undiagnosed and ultra-rare families:

India — NPRD

Last verified 2026-07-26

This 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.

"Dowling-Degos disease" OR "Reticular pigment anomaly of flexures" OR "Reticular pigment anomaly of the flexures" OR "Dowling-Degos disease type 1"

Run this search on Europe PMC

MeSH descriptor terms unioned into the query: Dowling-Degos Disease

ClinicalTrials.gov query (quoted phrases + MeSH via query.cond, plus recall-expansion terms when used):

"Dowling-Degos disease" OR "Reticular pigment anomaly of flexures" OR "Reticular pigment anomaly of the flexures" OR "Dowling-Degos disease type 1" OR "KRT5"

Recall-expansion terms: KRT5

Study-type breakdown: 0 interventional · 0 observational · 0 expanded access. Only interventional studies enter the trial headline.

Query health: ok — strategies attempted: phrase, mesh, recall-expansion; with hits: phrase, mesh

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

Ingested 2026-07-27T02:03:18.094Z