raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79145

Dowling-Degos disease

Synonyms: Reticular pigment anomaly of flexures

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Adolescent, Adult
Status
active

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.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enDowling-Degos diseaseReticular pigment anomaly of flexures
frMaladie de Dowling-DegosDermatose réticulée des plis
deDowling-Degos-KrankheitRetikuläre Pigmentdermatose der Intertrigines
esEnfermedad de Dowling-DegosPigmentación reticular anómala en las flexuras · Pigmentación reticular anómala en los pliegues de flexión
itMalattia di Dowling-DegosDisturbo reticolare della pigmentazione delle pieghe di flessione
nlZiekte van Dowling-DegosReticulaire pigmentanomalie van flexuren
ptDoença de Dowling-DegosAcropigmentação reticulada de Kitamura · Anomalia pigmentar reticular das regiões de flexão · Doença de Dowling-Degos-Kitamura
plChoroba Dowlinga i DegosaSiateczkowata barwnikowa anomalia powierzchni zgięciowych
csDowlingova-Degosova nemocRetikulární pigmentové anomálie flexorů · Dowling-Degosova nemoc
ukХвороба Даулінга-ДегосаРетикулярна пігментна аномалія згиначів
zhDowling-Degos病屈侧网状色素异常
trDowling-Degos hastalığıFleksuraların retiküler pigment anomalisi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM179850Evalidated
OMIM615327BTNTvalidated
OMIM615674BTNTvalidated
OMIM615696BTNTvalidated
ICD-10L81.8NTBTattributedvalidated
ICD-11EC23.0NTBTindexvalidated
MONDO0008371Evalidated
MeSHC562924Evalidated
UMLSC3714534Evalidated
GARD9775Evalidated
MedDRA10068651Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

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Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (4):

No children.

4

Genes

4 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
KRT5Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:6442ENSG0000018608114804012q13.13keratin 516465624[PMID]
POFUT1Disease-causing germline mutation(s) inAssessedHGNC:14988ENSG0000010134660749120q11.21protein O-fucosyltransferase 123684010[PMID]
POGLUT1Disease-causing germline mutation(s) inAssessedHGNC:22954ENSG000001633896156183q13.33protein O-glucosyltransferase 124387993[PMID]
PSENENDisease-causing germline mutation(s) inAssessedHGNC:30100ENSG0000020515560763219q13.12presenilin enhancer, gamma-secretase subunit28287404[PMID]
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Prevalence and incidence

1 record
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

25 annotations · validated 2021-09-30
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007456Progressive reticulate hyperpigmentation
Frequent (79-30%)
HP:0000464Abnormality of the neck
HP:0000962Hyperkeratosis
HP:0030052Inguinal freckling
Occasional (29-5%)
HP:0001231Abnormal fingernail morphology
HP:0001155Abnormality of the hand
HP:0040154Acne inversa
HP:0031293Digital pitting scar
HP:0030350Erythematous papule
HP:0002046Heat intolerance
HP:0045059Hyperkeratotic papule
HP:0001034Hypermelanotic macule
HP:0025473Hyperpigmented papule
HP:0031447Penile freckling
HP:0000989Pruritus
HP:0012855Scrotal hyperpigmentation
Very rare (<4-1%)
HP:0030442Anal margin squamous cell carcinoma
HP:0001369Arthritis
HP:0200040Epidermoid cyst
HP:0011354Generalized abnormality of skin
HP:0020073Hypopigmented macule
HP:0031525Keratoacanthoma
HP:0009123Mixed hypo- and hyperpigmentation of the skin
HP:0010610Palmar pits
HP:0200037Skin vesicle

Run the differential on the 1 obligate / very frequent terms

Annotation source: 30285365[PMID]_33368260[PMID]

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Sources for this card