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CASE REPORT article

Front. Med.

Sec. Dermatology

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1637045

This article is part of the Research TopicExploring Innovative Therapies for Rare Inflammatory Skin DiseasesView all 10 articles

Case Report: Successful treatment of a novel variant of CARD14-mutated juvenile Pityriasis rubra pilaris with Ixekizumab

Provisionally accepted
  • 1Department of Dermatology, Eberhard Karls University, Tuebingen, Germany
  • 2Universitatsklinikum Freiburg, Freiburg, Germany

The final, formatted version of the article will be published soon.

Pityriasis rubra pilaris (PRP) is a rare inflammatory papulosquamous skin disease without any approved treatment options. Variants in the CARD14 (caspase recruitment domain family member 14) gene have been identified to play a role in the pathophysiology of atypical juvenile PRP by activating the IL-23/IL-17A cytokine axis, highlighting this pathway as a potential target of therapy. Here, we present a case of successful treatment with Ixekizumab, a humanized monoclonal anti-IL-17A antibody, in an atypical juvenile PRP (type V) patient with a novel variant of CARD14 mutation.

Keywords: Pityriasis Rubra Pilaris, case report, Ixekizumab, CARD14, Pediatric dermatology

Received: 28 May 2025; Accepted: 03 Jul 2025.

Copyright: © 2025 Millak, Hahn, Fischer and Volc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Matthias Hahn, Department of Dermatology, Eberhard Karls University, Tuebingen, Germany

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