Ichthyosis

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It is a desquamative skin disease.

There are hereditary forms that appear from birth or childhood, and acquired forms. Acquired forms are usually associated with drugs, or are the manifestation of certain diseases: hypothyroidism, sarcoidosis, HIV, lymphomas, breast cancer, lung cancer, multiple myeloma, mycosis fungoides, etc.

It usually presents as a mild skin disease, although there are severe forms that manifest as a disfiguring disease. It is characterized by dry, rough skin with scales (white, gray or brown); it can also affect the scalp. It is a diffuse disease, accentuated on the trunk and limbs and generally avoiding flexion areas. Sometimes they present painful cracks that can become infected.

The diagnosis is clinical. Genetic or acquired origin should be differentiated and, in the latter case, the underlying cause should be sought (if not already known). A dermatologist should be consulted, who will sometimes perform a skin biopsy.

Treatment will depend on the type and cause of ichthyosis. In general, the skin should be kept well hydrated and lubricated, and washed with antiseptic soaps.

Bibliographic references
  1. Saral S, Vural A, Wollenberg A, Ruzicka T. A practical approach to ichthyosis with systemic manifestations. Clin Genet. 2017 Jun;91(6):799-812.
  2. Vega Almendra N, Aranibar Duran L. Hereditary ichthyosis: A diagnostic and therapeutic challenge. Rev Chil Pediatr. 2016 May-Jun;87(3):213-23.
  3. Takeichi T, Akiyama M. Inherited ichthyosis: Non-syndromic forms. Dermatol. 2016 Mar;43(3):242-51
  4. Hernández-Martín A, Torrelo-Fernández A, de Lucas-Laguna R, Casco F, González-Sarmiento R, Vega A, Pedreira-Massa JL, de Unamuno-Pérez P, Larcher F, Arroyo I, Traupe H. First symposium of ichthyosis experts. Actas Dermosifiliogr. 2013 Dec;104(10):877-82.
  5. Patel N, Spencer LA, English JC, Zirwas MJ. Acquired ichthyosis. J Am Acad Dermatol. 2006 Oct;55(4):647-56. Review.
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Symptoms

    Brown flakes


    Scales on the skin


    Skin lesions worsen with cold and improve with warmth


    Skin with flaky red plaques


    Yellowish-white flakes

Symptoms to watch out for

Fever (temperature higher than 100.4 ºF)
Painful and reddened ulcer in affected area
Reddish sores that itch, break open and ooze clear fluid or pus

Self-care

Take prolonged immersion baths.
Use moisturizing cream or lubricant on wet skin after bathing.
Apply over-the-counter products containing urea, lactic acid, or low concentrations of salicylic acid twice daily.
Consult with your general practitioner to evaluate retinoid treatment.