2021Indian Journal of Forensic Medicine & ToxicologyOpen access

Harlequin Ichthyosis the Most Severe Form of the Congenital Ichthyosis; A Case Report Study

Nasim Talebiazar, Mayam Rasouli, Babak Choobi Anzali, Rasoul Goli, Jaizeh Karimi Johani, Navid Faraji, Amireh Hassanpour, Aynaz Bagherzadi

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Abstract

Harlequin ichthyosis (HI) is a rare and the most severe form of the congenital ichthyosis with an autosomalrecessive inheritance. At birth, the HI phenotype is striking with thick hyperkeratotic plate-like scaleswith deep dermal fissures, severe ectropion, among other findings. Although HI infants have historicallysuccumbed in the perinatal period related to their profound epidermal compromise, the prognosis of HIinfants has vastly improved over the past 20 years. The disease might be lethal at birth and the affected babiesare often premature. The present study reports a new case with HI and adds to the collective knowledge ofthis rare skin disorder.

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Harlequin ichthyosis (HI) is a rare and the most severe form of the congenital ichthyosis with an autosomalrecessive inheritance. At birth, the HI phenotype is striking with thick hyperkeratotic plate-like scaleswith deep dermal fissures, severe ectropion, among other findings. Although HI infants have historicallysuccumbed in the perinatal period related to their profound epidermal compromise, the prognosis of HIinfants has vastly improved over the past 20 years. The disease might be lethal at birth and the affected babiesare often premature. The present study reports a new case with HI and adds to the collective knowledge ofthis rare skin disorder.

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Available abstract

Harlequin ichthyosis (HI) is a rare and the most severe form of the congenital ichthyosis with an autosomalrecessive inheritance. At birth, the HI phenotype is striking with thick hyperkeratotic plate-like scaleswith deep dermal fissures, severe ectropion, among other findings. Although HI infants have historicallysuccumbed in the perinatal period related to their profound epidermal compromise, the prognosis of HIinfants has vastly improved over the past 20 years. The disease might be lethal at birth and the affected babiesare often premature. The present study reports a new case with HI and adds to the collective knowledge ofthis rare skin disorder.

Key concepts: Ichthyosis, Congenital ichthyosis, Ectropion, Dermatology, Autosomal recessive inheritance, Medicine, Pediatrics, Genetics

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