Harlequin-type ichthyosis is a genetic disorder which results in thickened skin over nearly the Synonyms, Harlequin ichthyosis, hyosis fetalis, keratosis diffusa fetalis, harlequin fetus ichthyosis congenita gravior. Harlequin Autosomal recessive congenital ichthyosis (ARCI) encompasses several forms of nonsyndromic ichthyosis. Although most neonates with ARCI. German, kongenitale Ichthyose, Ichthyosis kongenital, Ichthyosis congenita, Ichthyosis Spanish, Ictiosis congénita, ictiosis congénita, SAI, ictiosis congénita .

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Skin lesions were present at birth in all, and in 10 patients the presentation was compatible with collodion baby. Repair of cicatricial ectropion in an infant with harlequin ichthyosis using engineered human skin. Moreover, ABCA12 deficiency impairs the transport of proteolytic enzymes congentia. Enzyme deficiency due to pathogenic variants in this gene results in decreased production of epidermal acylceramide, which is a specialized lipid essential for skin barrier formation and function [ Ohno et al ].

Rapid categorization of mild types of autosomal recessive congenital ichthyosis undergoing a phenotypic shift: Pigmentation disordersTemplate: CC HPO: Babies who survive into infancy and ictuosis develop skin changes resembling severe nonbullous congenital ichthyosiform erythroderma see summary by Rajpopat et al.

Lawlor presented an experience suggesting that harlequin fetus may be a severe form of nonbullous ichthyosiform erythroderma. Temtamy described a family with 3 affected sibs and first-cousin parents; the eyes were bulging in the infants and a typically characteristic feature was markedly hypoplastic fingers.

Plaques, measuring up to 4 or 5 cm on a side, have a diamond-like configuration resembling the suit of a harlequin clown.

Histochemical transglutaminase-1 assay in skin biopsies from the 2 sisters showed that the younger sister with acral self-healing collodion baby had slightly reduced enzyme function compared to a control skin biopsy, whereas the older sister with LI had complete absence of enzyme activity.

ABCA12 is a major causative gene for non-bullous congenital ichthyosiform erythroderma. Antenatal diagnosis Prenatal diagnosis is mandatory and consists in DNA analysis of amniocentesis and chorion villus sampling materials, rather than fetal skin biopsies.


Regular physical examination for evidence of infection, management of skin involvement, as well congemita for the increased but still low risk for skin malignancy squamous cell carcinoma, basal cell carcinoma, atypical melanocytic nevi, or malignant melanoma. Harlequin ichthyosis is characterized by extreme hyperkeratosis, follicular plugging, and the absence of lamellar bodies and icfiosis bi-layers in a skin biopsy by electron microscopy. Surveillance Regular physical examination for evidence of infection and control of skin involvement is appropriate; frequency depends on the severity.

Ichthyosis, congenital, autosomal recessive 4A.

Most infants with ARCI are born as collodion babies. Strong founder effect for a transglutaminase 1 gene mutation in lamellar ichthyosis and congenital ichthyosiform erythroderma from Norway. View in own window. Related Genetic Counseling Issues Family planning The optimal time for determination of genetic risk, clarification of carrier status, and discussion of the availability of prenatal testing is before pregnancy.


Retrieved January 28, She was not born with collodion, and thick scales had appeared during infancy. Molecular cloning, expression, and gene chromosomal assignment.

Taieb and Morice-Picard stated that the IPS subtype would be better termed ‘self-healing congenital verruciform hyperkeratosis. Am J Hum Genet. Kudla MJ, Timmerman D. Mutation spectrum and functional analysis of epidermis-type lipoxygenases in patients with autosomal recessive congenital ichthyosis. Histological findings usually reveal hyperkeratotic skin cells, which leads to a thick, white and hard skin layer.

Comparison of genetic and clinical classifications of patients with lamellar ichthyosis showed no consistency and thus indicated that clinical congenitaa used at that time could not discriminate between the molecularly different forms of the disease.

Ichthyosis, congenital, autosomal recessive 1. Gaucher disease is caused by pathogenic variants in GBA. Four genetic disorders of keratinization are known to have a structural defect of tonofibrils Anton-Lamprecht, Definition MSH A chronic, congenital ichthyosis inherited as an autosomal recessive trait.


Electron microscopy did not reveal cholesterol clefts or lipid droplets in the thickened corneal layer. At 1 month of age, the ectropion and eclabium had improved, and the dry collodion membrane peeled off to reveal large, slightly brownish scales primarily on the trunk, with near-normal appearance of other body sites, although the skin was dry.

Orphanet: Ictiosis congenita tipo arlequin

Acral self-healing collodion baby: ABCA12 is the major harlequin ichthyosis gene. In 4 probands, no causative variants were identified; and 1 proband, who a congenital ichthyosiform erythroderma phenotype, was compound heterozygous for missense mutations in the ALOXE3 gene.

Intubation is often required until nares are patent.

Other clinical features are often associated such as palmoplantar keratoderma, failure to thrive, short stature, malformed ears and digits, nail deformities and alopecia.

Deficient stratum corneum intercellular lipid in a Japanese patient with lamellar ichthyosis by a homozygous deletion mutation in SDR9C7. Five patients displayed fine linear scaling on the inner forearm and very pronounced scaling in the axillae, on the neck, and on medial parts of the trunk, sparing the suprarenal lumbar areas.

Breathing problems, infection, problems with body temperature, dehydration [4]. It is inherited as an autosomal dominant trait. Early mention of a harlequin fetus in America. Views Read Edit View history. Expert curators review the literature and organize it to facilitate your work.

The younger sister presented at birth with a collodion baby phenotype in a localized acral distribution, with only the 2 distal phalanges of her fingers and toes embedded in glistening, tight skin leading to constricting bands and cracks.

Erythema may be very mild and almost invisible. There are many types of ichthyoses, and an exact diagnosis may be difficult.