X Linked recessive Ichthyosis Flashcards

1
Q

X linked recessive ichthyosis

A

Steroid sulfatase deficiency
Only seen in men

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2
Q

Pathogenesis

A

Steroid sulfatase gene mutation
Cholesterol sulfate cannot be broken down
Retention hyperkeratosis develops

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3
Q

Clinical features

A

Improves in summer
Large brown polygonal scales divided by wide splits
Scalp
Ears
Neck
Trunk and extremities
Ocular opacity
Delayed labor
Hypogonadism

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4
Q

Diagnosis

A

Elevated plasma cholesterol sulfate
Opthalmological examination

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5
Q

How is out different from ichthyosis vulgaris

A

No hyperlinear palms
No keratosis piliaris
There’s fexural involvement
Larger and darker scales

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6
Q

Therapy

A

Cholesterol ointment typically
Urea
Lactic acid

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