Netherton Syndrome: diagnosis, forms of treatment and the role of pharmaceutical care for health in this pathology

Authors

DOI:

https://doi.org/10.33448/rsd-v10i14.21916

Keywords:

Netherton's Syndrome; Congenital Ichthyosiform Erythroderma; Retinoids.

Abstract

Netherton Syndrome (NS) is a very rare and severe dermatosis, characterized by reddened skin with abundant desquamation, generating rapid skin regeneration and causing fluid loss. Diagnosis is challenging and can often be confused with other comorbidities. NS has no cure, only treatment. The pharmaceutical care of this disease helps to improve the patient's quality of life, as well as better adaptation to treatment. This work aims to survey, based on the current literature, the characteristics of SN, to facilitate the diagnosis; demonstrate its various forms of treatment; analyze the role of the pharmacist to improve the quality of life of the carrier. For this investigation, a bibliographic research was adopted, based on a literature review of scientific articles available in the electronic database of the Scientic Electronic Library Online (SciELO) and Medical Literature Analysis And Retrieval System Online (MEDLINE). In the reviewed bibliographies it was possible to find that NS is caused by genetic mutation, it has a complex diagnosis, and bullous ichthyosis, atopic dermatitis, among others, can be confused. Some of the treatments are used emollients, reducing transepidermal water loss, dupilumab is also used, a biological medication of human monoclonal IgG4 antibody, improving the condition of the skin, as well as pharmaceutical care in this scenario brings great improvements in adherence to treatment. It is noticed that there is still a lot of study to be carried out and to be able to further improve the well-being of these individuals, as well as more research on the syndrome in order to make a quick diagnosis and effective treatments possible.

References

Abdalrheem, W.O., Alluhayyan, O.B., & Alharbi, A. (2020). Um relato de caso sobre a síndrome de netherton. Cureus, 12 (7), e9166. doi: 10.7759 / cureus.9166.

Al-shaikhly, T. & Ochs, H.D. (2019). Hyper IgE syndromes: clinical and molecular characteristics. Immunology & Cell Biology, 97 (4), 368-379, 2019. doi: 10.1111/imcb.12209.

Barros, D.S.L., Silva, D.L.M., & Leite, S.N. (2020). Serviços farmacêuticos clínicos na atenção primária à saúde do Brasil. Trabalho, Educação e Saúde, 8 (1), 1-12. doi:10.1590/1981-7746-sol00240. doi:10.1590/1981-7746-sol00240.

Brasil. (2021). Conselho Federal de Farmácia. RE nº 711/2021. Dispõe sobre o código de ética farmacêutica, o código de processo ético e estabelece as infrações e as regras de aplicação das sanções disciplinares. in.gov.br/em/web/dou/-/resolucao-n-711-de-30-julho-de-2021-337525053.

Cesar, P., Filho, N.R., & Marinoni, L.P. (2014). Deficiência seletiva de IgM em Síndrome de Netherton. Alergia e Imunopatologia, 21, (3), 91-96.

Chiticariu, E., & Hohl, D. (2020). Síndrome de Netherton: percepções sobre a patogênese e implicações clínicas. Journal of Investigative Dermatology, 140 (6), 1129-1130. doi:10.1016/j.jid.2019.11.007.

Eränko, E., Ilander, M., Tuomiranta, M., Mäkitie, A., Lassila, L., Kreutzman, A., Klemetti, P., Mustjoki, S., Hannula-Jouppi, K., & Ranki, A. (2018). Immune cell phenotype and functional defects in netherton syndrome. Orphanet Journal of Rare Diseases, 13 (213). doi: 10.1186/s13023-018-0956-6.

Flora, A., & Smith, A. (2020). Síndrome de Netherton: um caso de dois irmãos do sexo masculino diagnosticados na idade adulta. Case Rep Dermatol, 12 (1), 64-69. doi:10.1159/000507359.

Gálvez, V., Chacón-Solano, E., Bonafont, J., Mencía, Á., Di, W., Murrilas, R., Llames, S., Vicente, A., Rio, M.D., Carretero, M., & Larcher, F. (2020). Efficiente crispr-cas9-mediated gene ablation in human keratinocyter to recapitulate genodermatoses: modeling of netherton syndrome. Molecular Therapy: Methods & Clinical Development, 18 (11), 280-290. doi: 10.1016/j.omtm.2020.05.031.

Giavina-Bianchi, M.H., Giavina-Bianchi, P., & Rizzo, L.V. (2019). Dupilimabe no tratamento da dermatite atópica grave refratária à imunossupressão sistêmica: relato de caso. Einstein (São Paulo), 17 (4), 1-4. doi:10.31744/einstein_journal/2019RC4599.

Leung, A.K.C., Barankin, B., & Leong, K.F. (2018). Uma criança de 8 anos com diagnóstico tardio de síndrome de netherton. Case Rep Pediatr, 2018, 1-4. doi:10.1155/2018/9434916.

Luchsinger, I., Knöpfel, N., Theilet, M., Claustres, M.B.D., Barbieux, C., Schwieger-Briel, A., Brunner, C., Donghi, D., Buettcher, M., Meier-Shiesser, B., Hovnanian, A., & Weibel, L. (2020). Terapia com secucinumabe para síndrome de Netherton. JAMA Dermatol, 156 (8), 907-911. doi:10.1001/jamadermatol.2020.1019.

Moltó-Puigmartí, C., Vonk, R., Ommeren, A.V., & Hegger, I. (2018). Um modelo lógico para a assistência farmacêutica. Política J Healt Serv Res, 23 (3), 148-157. doi:10.1177/1355819618768343.

Muñoz-Bellido, F.J., Morena, E., & Dávila, I. (2021). Dupilumab: a review of presente indications and users out of indication. J Investig Allergol Clin Immunol, 32 (2), 1-36. doi: 10.18176/jiaci.0682.

Nogueira, M., Otuyama, L.J., Rocha, P.A., & Pinto, V.B. (2020). Intervenções baseadas em cuidados farmacêuticos em diabetes mellitus tipo 2: uma revisão sistemática e meta-análise de ensaios clínicos randomizados. Einstein (São Paulo), 18:eRW4686, 1-14. doi:10.31744/einstein_journal/2020RW4686.

Okulu, E., Tund, G., Erdeve, O., Mumcu, Y., Atasy, B., Ince, E., & Arsan, S. (2018). Netherton syndrome: a neonatal case with respiratory insufficiency. Arch Argent Pediatr, 116 (4), 609-611. doi: 10.5546/aap.2018.eng.e609.

Sallem, H.M.K., Shahid, M.F., Shahbaz, A., Sohail, A., Shahid, M.A., & Sachamechi, I. (2018). Síndrome de netherton: um relato de caso e revisão da literatura. Cureus – Publishing Beyond Opne Access, 10 (7), 1-6. doi:10.7759/cureus.3070.

Santos, J.B., Luquetti, T.M., Castilho, S.R., & Calil-Elias, S. (2020). Cuidado farmacêutico domiciliar na estratégia saúde da família. Saúde Coletiva, 30 (2), 1-18. doi:10.1590/S0103-73312020300229.

Souza, M.T., Silva, M.D, & Carvalho, R. (2010). Revisão integrativa: o que é e como fazer. Einstein (São Paulo), 8 (1), 102-106. doi:10.1590/S1679-45082010RW1134.

Sugimoto, S., Morizane, S., Nomura, H., Kobashi, M., Sugihara, S., & Iwatsuki, K. (2018). Toll-like receptor signaling induces the expression. Of lumpho-epithelial kazal-type inhibitor in epidermal keratinocytes. Journal Of Dermatological Science, 92 (2) 181-187. doi: 10.1016/j.jdermsci.2018.09.001.

Zang, Z., Pan, C., Wei, R., Li, H., Yang, Y., Chen, J., Li, M., & Yao, Z. (2021). Síndrome de netherton causada por mutação heterozigótica composta, mutação c.80a>g em spink5 e mutação de deleção genômica de grande porta e tratamento bem-sucedido de imunoglobulina intravenosa. Genética Molecular e Medicina Genômica, 9 (3) 1-7. doi:10.1002/mgg3.1600.

Published

31/10/2021

How to Cite

MEYER , S. F.; TREVISAN, M. Netherton Syndrome: diagnosis, forms of treatment and the role of pharmaceutical care for health in this pathology. Research, Society and Development, [S. l.], v. 10, n. 14, p. e236101421916, 2021. DOI: 10.33448/rsd-v10i14.21916. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/21916. Acesso em: 22 nov. 2024.

Issue

Section

Review Article