Definition

Ichthyosis is a group of skin disorders that cause dryness and scaling. There are two main types:

• Inherited—due to hereditary factors
• Acquired—due to certain health problems (rare)

Causes

The inherited type is caused by a genetic defect that is passed from parent to child or that occurs on its own.

The acquired type may be caused by health problems, such as:

• Lymphoma, such as Hodgkin and non-Hodgkin
• Multiple myeloma
• Sarcoidosis
• Certain medicines, such as nicotinic acid, triparanol, and butyrophenones

Risk Factors

Things that may raise the risk of this problem are:

• Having other family members who have it
• Having any of the health problems that may cause the acquired type

Symptoms

It can affect any part of the body. It is common on the legs, arms, and trunk. Symptoms can be mild to severe and include:

• Dry, flaking skin
• Scaling that looks like fish scales
• Shedding of skin layers
• Itching
• Scarring

Diagnosis

The doctor will ask about your symptoms and health history. You may also be asked about your family history. A physical exam will be done. It will focus on the skin.

Blood tests may be done to look for signs of the gene linked to this health problem.

Skin Biopsy

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Treatment

There is no cure. The goal of treatment is to manage symptoms. Any underlying cause will also need to be treated.

Treatment may include:

• Lifestyle changes, such as using non-soap cleansers and removing scales with a pumice stone
• Ointment, lotions, or creams to keep the skin moist
• Solutions or creams with lactic/salicylic acid or urea to ease scaling
• Medicines, such as retinoids or calcipotriene to treat severe symptoms

Prevention

There are no current guidelines to prevent this health problem.