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Pachyonychia congenita lacks reliable country-level epidemiology, with cases underreported and often misdiagnosed, underscoring the need for improved registries and broader genetic testing to clarify its true population burden. The pachyonychia congenita (PC) epidemiology forecast by Expert Market Research, approximately 70–80% of all confirmed PC cases are caused by mutations in two genes, KRT6A and KRT16.
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Expert Market Research's “Pachyonychia Congenita (PC) Epidemiology Forecast Report 2026-2035” offers comprehensive information on the prevalence and demographics of pachyonychia congenita (PC). It projects the future incidence and prevalence rates of pachyonychia congenita (PC) cases across various populations. The study covers age, gender, and type as major determinants of the pachyonychia congenita (PC) population. The report highlights patterns in the prevalence of pachyonychia congenita (PC) over time and projects future trends based on multiple variables.
The report provides a comprehensive overview of the disease, as well as historical and projected data on pachyonychia congenita (PC)a epidemiology in the 8 major markets.
Regions Covered
Pachyonychia congenita is a rare hereditary keratin disorder characterized by nail thickening, painful palmoplantar keratoderma, cysts, and oral leukokeratosis. It results from dominant mutations in keratin genes such as KRT6A, KRT6B, KRT6C, KRT16, and KRT17. Symptoms often begin in childhood and cause significant functional limitation due to severe plantar pain. Although not life-threatening, PC greatly affects mobility, daily activities, and emotional well-being. The clinical presentation varies by genotype, but progressive keratinization and recurrent infections remain common. Early diagnosis supports targeted symptom management and genetic counseling.
The pachyonychia congenita (PC) epidemiology division offers information on the patient pool from history to the present, as well as the projected trend for each of the 8 major markets. Expert Market Research provides both current and predicted trends for the pachyonychia congenita (PC) epidemiology scenario by examining a wide range of studies. Additionally, the report covers the diagnosed patient pool for pachyonychia congenita (PC) and its trends. The pachyonychia congenita (PC) detailed epidemiology segmentation is broken down into specific categories, such as total prevalent cases in males and females, and total diagnosed cases across different age groups and patient pools.

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The pachyonychia congenita (PC) epidemiology data and findings for the United States, Germany, Spain, Italy, France, the United Kingdom, Japan, and India are also provided in the epidemiology section.
The epidemiology of pachyonychia congenita (PC) across individual countries remains challenging to quantify due to the absence of robust, population-based surveillance systems. As an ultra-rare genetic keratin disorder, PC is often underdiagnosed or misclassified, limiting the availability of reliable country-specific incidence or prevalence estimates. Existing information is largely derived from registries and small clinical cohorts, which do not reflect true national burdens. Registry demographics indicate no significant racial or ethnic clustering: Europe and North America together make up roughly 60–70% of reported cases, Asia accounts for 15–20%, and the remaining cases are distributed across South America, the Middle East, and Africa. These proportions reflect global access to genetic testing rather than true disease distribution, implying that prevalence in lower-resource regions is likely undercounted.
Treatment for pachyonychia congenita focuses on managing pain, reducing keratoderma, and preventing secondary infections. Current care includes keratolytics, topical retinoids, urea-based formulations, and mechanical paring. Pain control and footwear modifications significantly improve mobility. Oral retinoids may reduce hyperkeratosis but can worsen discomfort. Cyst management includes drainage and infection control. Gene-based therapies targeting specific keratin mutations, including siRNA approaches, are under investigation but not yet approved. Multidisciplinary support, dermatology, podiatry, physical therapy, helps optimize functional outcomes and quality of life.
*While we strive to always give you current and accurate information, the numbers depicted on the website are indicative and may differ from the actual numbers in the main report. At Expert Market Research, we aim to bring you the latest insights and trends in the market. Using our analyses and forecasts, stakeholders can understand the market dynamics, navigate challenges, and capitalize on opportunities to make data-driven strategic decisions.*
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Base Year |
2025 |
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Historical Period |
2019-2025 |
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Forecast Period |
2026-2035 |
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