Presentation
Systemic Features: The skin changes are present at birth and consist of an ichthyosiform erythroderma. Hyperkeratosis is also present at birth and full blown ichthyosis develops during infancy. [disorders.eyes.arizona.edu]
Presents a new chapter on mucous membrane lesions, with increased coverage of the mouth and genital areas. Features 200 new or replaced photographs of unparalleled quality. Includes European drug names when appropriate. [books.google.de]
Table 2 Major conditions in which ichtyosis and alopecia are both present (14). [ojrd.biomedcentral.com]
Clinical presentation and disease course The ichthyoses are present at birth or later in life. At birth, the newborns present with generalised scaling associated or not with generalised redness (erythroderma). [geneskin.org]
The X-linked dominant type, which this patient had, presents with milder asymmetric shortening of long bones. [healio.com]
Entire Body System
- Disability
[…] neuropathy-ichthyosis-keratodermia syndrome Related symptoms: Autosomal recessive inheritance Intellectual disability Global developmental delay Generalized hypotonia Pica SOURCES: MESH DOID MONDO ORPHANET OMIM SCTID UMLS More info about MENTAL RETARDATION [mendelian.co]
Please enable JS and disable any ad blocker [infirmiers.com]
Other features such as short stature, intellectual disability, and seizures may develop in the first few years of life. [ojrd.biomedcentral.com]
Intellectual disability in patients with BPES may be due to larger deletions involving 3q22.3, or part of the blepharophimosis-ptosis-intellectual disability syndrome (BPIDS) caused by heterozygous mutations in the UBE3B gene (12q23). 6 Congenital fibrosis [reviewofophthalmology.com]
For instance, Refsum disease and Sjögren-Larsson syndrome (hereditary intellectual disability and spastic paralysis caused by a defect in fatty aldehyde dehydrogenase) are autosomal recessive conditions with skin and extracutaneous organ involvement. [merckmanuals.com]
- Developmental Delay
delay Nystagmus Motor delay Erythema Pica Autosomal dominant inheritance Rare Symptoms - Less than 30% cases Areflexia Ptosis Papule Hyperkeratotic papule Ataxia Hepatic steatosis Microcephaly Myopathy Honeycomb palmoplantar keratoderma Bilateral sensorineural [mendelian.co]
Both the cases reported here had failure to thrive, developmental delay and hepatomegaly. In addition, Case 1 had bilateral cataracts and deafness. Deafness in DCS can develop at any age and can be progressive(4). [indianpediatrics.net]
A detailed developmental assessment revealed that the developmental age was 12-15 months in all aspects of development indicating a global developmental delay. [ijpmonline.org]
It is characterized by congenital cataracts, sensorineural deafness, severe developmental delay and low serum copper and ceruloplasmin levels. All reported patients have died in early childhood. [invitae.com]
Systemic Features: Onset of symptoms commonly begins in infancy with severe hypotonia while developmental delays soon become evident as most children do not achieve normal milestones. The amount of cognitive impairment is variable. [disorders.eyes.arizona.edu]
- Infertility
[…] polyangiitis Pediatric systemic lupus erythematosus Baraitser-Winter syndrome Congenital bilateral absence of vas deferens Cystic fibrosis Developmental malformations - deafness - dystonia Hereditary chronic pancreatitis Idiopathic bronchiectasis Male infertility [csbg.cnb.csic.es]
[…] term which encompasses autosomal recessive sulfur deficient brittle hair syndromes. [1] Several acronyms have been proposed to describe the different clinical features of TTD patients - Photosensitivity, Intellectual impairment, Brittle hair, Decreased infertility [ijpd.in]
BPES1 is associated with premature ovarian failure and infertility in girls. BPES2 is not associated with ovarian failure, and can be transmitted by both males and females. [reviewofophthalmology.com]
In addition, an increased incidence of testicular maldescent, cryptorchidism, abnormalities of the sperm count or motility leading to infertility, and testicular cancer has been reported in patients with X-linked recessive ichthyosis. [emedicine.medscape.com]
Catecholaminergic Polymorphic Ventricular Tachycardia, 1 7 Catecholaminergic Polymorphic Ventricular Tachycardia, 4 5 Catecholaminergic Polymorphic Ventricular Tachycardia, 5, with or without Muscle Weakness 4 Catel-Manzke Syndrome 1 CATSPER-Related Male Infertility [preventiongenetics.com]
- Hypothermia
PUNCTATA) CHOTZEN'S SYNDROME CIRRHOSIS OF THE LIVER CLEFT LIP AND PALATE CLINODACTILY OF THE FIRST FINGER – online-only CLOACAL EXSTROPHY CLUBBING OF FINGERS (see FINGER AND TOE CLUBBING) CLUB FOOT (See Talipes) COLD INJURY IN THE NEWBORN (NEONATAL HYPOTHERMIA [euro-libris.ro]
Eyes
- Blepharitis
Twenty-five percent of such children are born premature and in 51% the siblings are affected. [3] Ocular manifestations include exposure keratitis secondary to ectropion, unilateral megalocornea, enlarged corneal nerve, blepharitis, absence of the Meibomian [ojoonline.org]
[…] manifestations External links Edit Cataract Resource Guide from the National Eye Institute (NEI). eMedicine Health Video of Cataract Surgery v · d · e Eye disease - pathology of the eye ( H00-H59, 360-379 ) Adnexa eyelid : inflammation ( Stye, Chalazion, Blepharitis [psychology.wikia.com]
Skin
- Eczema
Ichthyosis vulgaris Skin may appear normal at birth By the age of 5, skin is dry with fine white scale Affects abdomen, arms and legs, sparing creases of arms and legs Causes keratosis pilaris Palms are excessively lined Associated with atopic eczema [dermnetnz.org]
Those patients with Atopic Dermatitis and Eczema will occasionally develop shield ulcers cataracts. Ichthyosis is an autosomal recessive disorder associated with cuneiform cataracts and nuclear sclerosis. [johngoosey.com]
Hair abnormalities, severe eczema and allergy manifestations are associated with scaling erythroderma in Netherton Syndrome. [geneskin.org]
Psoriasiform plaques (Figure 1B-C ), angular cheilitis, periungueal inflammation, dystrophic nails, hypohidrosis, and atopic eczema can be present. The palms and soles are generally unaffected; one patient had a plantar keratoderma [ 3 ]. [ojrd.biomedcentral.com]
[…] online-only DERMATITIS ARTEFACTA (see NEUROTIC EXCORIATION ) DERMOGRAPHISM DIARRHEA DI GEORGE SYNDROME DISSEMINATED INTRA VASCULAR COAGULOPATHY (DIC) (CONSUMPTIVE COAGULOPATHY) DISTENDED ABDOMEN DOWN SYNDROME DROWNING AND NEAR DROWNING DRUG ERUPTIONS E ECZEMA [euro-libris.ro]
- Photosensitivity
Brittle hair, photosensitivity, mental retardation, short stature, cataract and other signs are observed in Trichothiodystrophy with ichthyosis. [geneskin.org]
[…] months of age Click here to view Discussion Trichothiodystrophy is a term which encompasses autosomal recessive sulfur deficient brittle hair syndromes. [1] Several acronyms have been proposed to describe the different clinical features of TTD patients - Photosensitivity [ijpd.in]
PEDICULOSIS (LICE) PERIORBITAL CELLULITIS (PRE-SEPTAL CELLULITIS) PERIORIFICIAL DERMATITIS (PERIORAL DERMATITIS) PERITONSILLAR ABSCESS PES CAVUS AND HAMMER TOE (see TALIPES) – online-only PEUTZ-JEGHER SYNDROME (PJS) PHYTOPHOTODERMATITIS (PLANT INDUCED PHOTOSENSITIVITY [euro-libris.ro]
Arteries, Dextro-Looped 3 2 Treacher Collins Syndrome 4 Treacher Collins Syndrome 2 4 Treacher Collins syndrome 3 4 Tricho-Dento-Osseous Syndrome 1 Trichorhinophalangeal Dysplasia Type I 1 Trichorhinophalangeal Syndrome Type 3 2 Trichothiodystrophy Photosensitive [preventiongenetics.com]
- Sparse Hair
Affected individuals display short, sparse hairs on the ... [kegg.jp]
It is characterized by poikilodermatous skin changes, sparse hair, cataracts, small stature, skeletal abnormalities, and an increased predisposition to cancer, particularly osteosarcoma. [icd10data.com]
Neurologic
- Nystagmus
(CMN) Idiopathic congenital nystagmus (ICN) Nystagmus is an eye movement disorder in which one or both eyes are in constant movement. [kegg.jp]
Muscle weakness, ataxia, neurosensory hearing loss, eye findings (subcapsular cataracts, nystagmus and strabismus), and mental retardation may also be present. [genedx.com]
[…] neutral lipid storage disease, dorfman-chanarin syndrome;dcs, chanarin-dorfman disease, ichthyosiform erythroderma with leukocyte vacuolation Related symptoms: Autosomal recessive inheritance Intellectual disability Global developmental delay Ataxia Nystagmus [mendelian.co]
This condition then can lead to other eye problems such as nystagmus, strabismus and inability to fix a gaze upon objects. [allaboutvision.com]
Myopathy (with elevated serum muscle enzy-mes and abnormal EMG), mild neurologic impairment, ataxia, nystagmus, facial weakness, neurosensory deafness, developmental delay, cataracts, retinal dysfunction, mild ectropion (consequent to facial involvement [indianpediatrics.net]
- Irritability
Topical retinoids are not suitable because of their irritation. Corneal vascularization is relentless in affected boys and does not respond to topical corticosteroid therapy. [ojrd.biomedcentral.com]
- Delayed Milestone
This sibling had delayed milestones, ichthyosis and hepato-megaly (noticed at 1 month of age). [indianpediatrics.net]
Treatment
Treatment Treatment Options: No treatment is available. [disorders.eyes.arizona.edu]
Long-term (1 yr) treatment with oral isotretinoin has resulted in bony exostoses in some patients, and other long-term adverse effects may arise. [merckmanuals.com]
Walsh, along with a multi-disciplinary team of contributors guide you through the sweeping developments in diagnosis and treatment of the mother fetus, and neonate. [books.google.com]
All issues pertaining to the care of patients with ichthyosis should be discussed with a dermatologist experienced in the treatment of their skin disorder. [firstskinfoundation.org]
Prognosis
Affected individuals should talk to their physician and medical team about their specific case, associated symptoms and overall prognosis. The classic symptoms of Conradi-Hünermann syndrome involved the skeleton, skin and eyes. [rarediseases.org]
Cataract removal may improve vision but the poor prognosis for longevity requires caution be used. [disorders.eyes.arizona.edu]
Prognosis Life expectancy in patients with IFAP syndrome can vary from death in the neonatal period to normal surviving. The oldest reported patient was 33 years old [ 10 ]. Cardiopulmonary complications were the main cause of death. [ojrd.biomedcentral.com]
Prognosis The dryness of the eyes can be treated with artificial tears, ointments, bandage contact lenses, punctal occlusion, and possibly surgery, depending on the presence of abnormal lid closure or limbal stem cell deficiency. [emedicine.medscape.com]
Etiology
However, this patient had findings suggestive of a hereditary etiology, which initially prompted the ophthalmic consultation, and further tests were done. [healio.com]
• In-depth coverage addresses each disorder in all its manifestations—from the common to the unusual including etiology, symptoms, signs, treatment, and clinical pearls. • An anatomical table of contents helps you pinpoint a diagnosis when presented [euro-libris.ro]
Classified by etiology Age-related cataract Immature Senile Cataract (IMSC) - partially opaque lens, disc view hazy Mature Senile Cataract (MSC) - Completely opaque lens, no disc view Hypermature Senile Cataract (HMSC) - Liquefied cortical matter: Morgagnian [cs.mcgill.ca]
Awareness of orbital, ocular and adnexal development and the migratory pattern of neural crest cells is useful for understanding the etiology of congenital orbital, eyelid and lacrimal anomalies. [reviewofophthalmology.com]
Epidemiology
“Blindness Due to Cataract: Epidemiology and Prevention.” Annual Review of Public Health 17 (1996): 159-77. ↑ Klein, Barbara, Ronald Klein, Kristine Lee, and Lisa Grady. Statin Use and Incident Nuclear Cataract. [psychology.wikia.com]
It has also been recognized, from animal, and epidemiological studies in humans, that microwaves can cause cataracts. [johngoosey.com]
Epidemiology Cataracts are the leading cause of blindness in the world. [cs.mcgill.ca]
Epidemiology Frequency United States Ichthyosis vulgaris is the most common form and is an autosomal dominant trait with an incidence of 1 case per 300 population. [emedicine.medscape.com]
Epidemiology The association of ichthyosis follicularis, atrichia, and photophobia was first reported as a syndrome by MacLeod in 1909 in three boys [ 1 ]. [ojrd.biomedcentral.com]
Pathophysiology
Pathophysiology Ichthyosis vulgaris is characterized by onset in early childhood, usually between age 3 and 12 months, with fine scales and varying degrees of dryness of the skin. [emedicine.medscape.com]
Prevention
But cataract surgery may help prevent these quality-of-life changes. [johngoosey.com]
Prevention Edit Although cataracts have no scientifically proven prevention, it is sometimes said that wearing ultraviolet -protecting sunglasses may slow the development of cataracts. [10] [11] Regular intake of antioxidants (such as vitamin A, C and [psychology.wikia.com]
It has a protective function against external aggressions and prevents the fluid loss. Genetic defects affecting each of its components have now been identified in a majority of ichthyosis. [geneskin.org]
Prevention Although cataracts have no scientifically proven prevention, it is sometimes said that wearing ultraviolet -protecting sunglasses may slow the development of cataracts. [cs.mcgill.ca]
By replacing the aqueous humor with a thicker viscoelastic, we can prevent the collapse of the eye, absorb free radicals generated from the emulsification and protect ocular structure. [slideshare.net]