Skip to main content

Epidermolytic Ichthyosis

  • Chapter
  • First Online:
Clinical Cases in Neonatal and Infant Dermatology

Abstract

Ichthyosis is a group of genodermatosis characterized by desquamation disorders in the form of hyperkeratosis and generalized scale. Epidermolytic ichthyosis (EI) is an autosomal dominant hereditary disorder caused by mutations in keratin 1 or 10 genes. Clinical manifestations of EI are bullae, erythroderma, scales with accentuated pattern in the body folds area, and palmoplantar hyperkeratosis. Histopathological examination of EI showed hyperkeratosis, parakeratosis, vacuolization of keratinocytes, increased keratohyalin, and intraepidermal bullae. Clinical manifestation of EI could resemble many skin disorders, however with careful history taking and histopathological examination could establish the diagnosis.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 16.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Choate KA, Milstone LM. The ichthyoses. In: Kang S, Amagai M, Bruckner AL, Enk AH, Margolis DJ, McMichael AJ, Orringer JS, penyunting. Fitzpatrick’s dermatology in general medicine. Edisi ke-9. New York: McGraw-Hill; 2019. h.775–849.

    Google Scholar 

  2. Paller AS, Mancini AJ. Hereditary disorders of cornification. Hurwitz clinical pediatric dermatology. Edisi ke-5. London: Elsevier; 2016. hlm. 95–118.

    Google Scholar 

  3. Bedocs LA, O’Regan GM, Bruckner AL. Red, scaly babies: neonatal erythroderma. Am J Pediatr. 2011;12:325–33.

    Google Scholar 

  4. Al Raddadi AA, Habibullah TH, Abdelaal AM, Felimban AM, Al Raddadi HA, Satti MB. Epidermolytic ichthyosis without keratin 1 or 10 mutations: a case report. Saudi J Med Med Sci. 2018;6(1):36–9.

    Article  Google Scholar 

  5. Alshami MA, Mohana MJ, Alshami AM. Epidermolytic hyperkeratosis: a case report from Yemen. Invest Dermatol Venereol Res. 2016;2(1):61–3.

    Google Scholar 

  6. Hayashida MT, Ivanoff dos Reis N, Neto DJ, Mitsui GL, Fantinato G, da Cunha Mercante AM. Epidermolytic hyperkeratosis – case report. An Bras Dermatol. 2015;90(6):888–91.

    Article  Google Scholar 

  7. Bygum A, Virtanen M, Brandrup F, Ganemo A, Sommerlund M, Strauss G, et al. Generalized and naevoid epidermolytic ichthyosis in Denmark: clinical and mutational findings. Acta Derm Venereol. 2013;93:309–13.

    Article  Google Scholar 

  8. Lane EB, McLean WHI. Keratins and skin disorders. J Pathol. 2004;204:355–66.

    Article  CAS  Google Scholar 

  9. Omary MB, Coulombe PA. Mechanisms of disease intermediate filament proteins and their associated diseases. N Engl J Med. 2004;351(20):2087–100.

    Article  CAS  Google Scholar 

  10. Bragulla HH, Homberger DG. Structure and functions of keratin proteins in simple, stratified, keratinized and cornified epithelia. J Anat. 2009;214:516–59.

    Article  CAS  Google Scholar 

  11. Rout DP, Nair A, Gupta A, Kumar P. Epidermolytic hyperkeratosis: clinical update. Clin Cosmet Investig Dermatol. 2019;12:333–44.

    Article  CAS  Google Scholar 

  12. Betlloch I, Costa AL, Mataix J, Perz-Crespo M, Ballester I. Bullous congenital ichthyosiform erythroderma: a sporadic case produced by a new KRT10 gene mutation. Pediatr Dermatol. 2009;26(4):489–91.

    Article  Google Scholar 

  13. Eskin-Schwartz A, Drozhdina M, Sarig O, Gat A, Jackman T, Isakov O, et al. Epidermolytic ichthyosis sine epidermolysis. Am J Dermatopathol. 2017;39(6):440–4.

    Article  Google Scholar 

  14. Senhaji G, El Jouari O, Elloudi S, Douhi Z, Bay Bay H, Mernissi FZ. Infantile sporadic epidermolytic hyperkeratosis: a case report. Clin Case Rep Rev. 2019;4(9):1–3.

    Google Scholar 

  15. Kucharekova M, Mosterd K, Winnepenninckx, van Geel M, Sommer A, van Steensel MAM. Bullous congenital ichthyosiform erythroderma of Brocq. J Dermatol. 2007;46(3):36–8.

    Google Scholar 

  16. Ross R, DiGiovanna JJ, Capaldi L, Argenyi Z, Fleckman P, Robinson-Bostom L. Histopathologic characterization of epidermolytic hyperkeratosis: a systematic review of histology from the National Registry for ichthyosis and related skin disorders. J Am Acad Dermatol. 2008;59(1):86–90.

    Article  Google Scholar 

  17. El Hanbuli HM, Elmahdi MH, Salem MA. Epidermolytic hyperkeratosis: a challenging pathology for clinical correlation. Balkan Med J. 2019;36:294–5.

    PubMed  PubMed Central  Google Scholar 

  18. Rubeiz N, Kibbi AG. Management of ichthyosis in infants and children. Clin Dermatol. 2003;21:325–8.

    Article  Google Scholar 

  19. Bates C, Freed BB, Gattuccio. Practical matters. In: Breuning L, penyunting. Icthyosis: Release the butterfly: a handbook for parents and caregiver of children with ichtyosis. Edisi ke-3 Pennsylvania: Foundation for Ichthyosis and Related Skin Types: 2011. hlm 23–33.

    Google Scholar 

  20. Vahlquist A, Ganemo A, Virtanen M. Congenital ichthyosis: an overview of current and emerging therapies. Acta Derm Venereol. 2008;88:4–14.

    Article  Google Scholar 

  21. Fluhr JW, Darlenski R, Surber C. Glycerol and the skin: holistic approach to its origin and function. Br J Dermatol. 2008;159:23–4.

    Article  CAS  Google Scholar 

  22. Traupe H, Burgdorf WBC. Treatment of ichthyosis-there is always something you can do! In memoriam: Wolfgang Kuster. J Am Acad Dermatol. 2007;57:542–7.

    Article  Google Scholar 

  23. Gautam M, Tahiliani H, Nadkarni N, Patil S, Godse K. Acitretin in pediatric dermatoses. Indian J Pediatr Dermatol. 2016;17:87–94.

    Article  Google Scholar 

  24. Brito MFM, Anna IPS, Figueiroa F. Evaluation of the side effects of acitretin on children with ichthyosis-a one-year study. An Bras Dermatol. 2004;79(3):283–8.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Reiva Farah Dwiyana .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2022 The Author(s), under exclusive license to Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Dwiyana, R.F., Johan, R., Effendi, R.M.R.A., Gondokaryono, S.P., Diana, I.A. (2022). Epidermolytic Ichthyosis. In: Arcangeli, F., Lotti, T.M. (eds) Clinical Cases in Neonatal and Infant Dermatology. Clinical Cases in Dermatology. Springer, Cham. https://doi.org/10.1007/978-3-030-91523-0_23

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-91523-0_23

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-91522-3

  • Online ISBN: 978-3-030-91523-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics