Dermatological

Incontinentia Pigmenti

Also known as IP, Bloch-Sulzberger syndrome, IKBKG mutation

Incontinentia pigmenti is an X-linked dominant neuroectodermal disorder caused by pathogenic variants in IKBKG (also known as NEMO), a gene encoding a key regulator of the NF-kB signalling pathway. The condition predominantly affects female

ORPHA:464 ↗Gene IKBKGPrevalence Less than 1 in 50,000Onset NeonatalX-linked dominant (lethal in males)

1

studies recruiting now

as of 7 Sept 2026

3

studies registered in total

as of 7 Sept 2026

1

countries with a recruiting site

as of 7 Sept 2026

20 Jul 2023

most recent study posted

among recruiting studies

Recruiting trials

Showing the 1 most recently updated recruiting study, as recorded 7 Sept 2026. Live status on each study page.

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Where recruiting studies are running

Countries with at least one recruiting site among the studies above, 7 Sept 2026. Tap a country to search trials there.

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Patient organisations

Incontinentia Pigmenti International FoundationPatient association
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About Incontinentia Pigmenti

Incontinentia pigmenti is an X-linked dominant neuroectodermal disorder caused by pathogenic variants in IKBKG (also known as NEMO), a gene encoding a key regulator of the NF-kB signalling pathway. The condition predominantly affects females, as hemizygous males typically do not survive to term; male patients with somatic mosaicism or Klinefelter syndrome are occasionally reported. The disorder progresses through four distinct cutaneous stages — vesicular, verrucous, hyperpigmented, and atrophic — while systemically affecting the eyes, teeth, central nervous system, and hair.

Common clinical features

Stage 1 vesicular rash: inflammatory blisters along Blaschko's lines appearing at birth or within the first weeks of lifeStage 2 verrucous plaques: warty, hyperkeratotic lesions developing on the limbs during infancyStage 3 hyperpigmentation: swirling, whorled brown pigmentation following Blaschko's lines persisting through childhoodStage 4 atrophic streaks: hypopigmented, hairless, atrophic skin lines in adulthoodOcular abnormalities including retinal vascular disease, retinal detachment, and visual impairment in up to 35% of patientsDental anomalies: delayed dentition, hypodontia, conical or peg-shaped teethNeurological involvement: seizures, intellectual disability, spasticity, and cerebral infarcts in a subset of patients

From Orphanet’s phenotype annotations (CC BY 4.0). Not a complete list.

Before you apply

Things trial teams commonly ask about for Incontinentia Pigmenti. Not eligibility rules; those are set by each study.

  • Molecular confirmation of IKBKG deletion (exons 4–10 genomic rearrangement accounts for approximately 80% of cases) is typically required — MLPA or array CGH is the preferred first-line test.
  • Multisystem involvement means eligibility may depend on ophthalmology and neurology assessment findings; arrange baseline retinal examination and neurological evaluation before screening.
  • As the condition is nearly exclusive to females, trials may specify sex-based inclusion criteria; verify whether mosaic male cases are eligible under the specific protocol.

Related conditions

Information, not medical advice. Trial listings are shown as recorded on ClinicalTrials.gov; whether any study is right for you is a decision for you and your clinicians, and eligibility is decided by each research team. Disease information from Orphanet (CC BY 4.0).