Ichthyosis Vulgaris is a skin condition resulting in scaly skin, especially on the arms and legs. Its name is derived from the Greek word meaning “fish.”
Ichthyosis Vulgaris can be hereditary, or it may develop later in life as a result of an internal disease or the use of certain medications.
The hereditary type first appears in early childhood and accounts for more than 95% of cases of Ichthyosis Vulgaris. The acquired type usually develops in adulthood.
As many as 1 in 250 children may have hereditary ichthyosis vulgaris. On the other hand, acquired Ichthyosis Vulgaris is rare.
In hereditary Ichthyosis, usually at least one of the affected person’s parents had the same dry, scaly skin as a child.
The most common locations for Ichthyosis Vulgaris include:
The scales of Ichthyosis Vulgaris range in size from 1–10 mm and in color from white to gray to brown, with darker-skinned people often having darker scales. The legs are usually affected more than the arms. The creases on the palms of the hands and the soles of the feet are prominent and often crack during dry or cold weather. However, the scaling tends to improve in more humid or warmer weather.
Hereditary ichthyosis and acquired ichthyosis look similar, and both are usually itchy. However, the acquired form occurs in people with many internal disease conditions, systemic diseases including malignancy.
Hereditary Ichthyosis Vulgaris tends to improve after puberty, while acquired Ichthyosis Vulgaris requires treatment of the medical condition before it will improve.
However, both conditions should improve by restoring moisture (hydration) to the skin. Moisturisers work best when applied just after bathing. Preparations containing alpha-hydroxy acids such as glycolic acid or lactic acid, urea, cortisone cream, tretinoin or propylene glycol are of benefit. For more severe, stubborn ichthyosis vulgaris, oral treatments may include:
Isotretinoin, a very strong medication with many potential side effects, usually used in the treatment of severe, scarring acne.
The estimated cost for the treatment will defer based upon the type of treatment followed. The consultation with Dr. Rinky Kapoor would cost you about INR 1000/-.
The prognosis for a child with hereditary Ichthyosis Vulgaris is excellent, as most individuals improve after puberty.
The prognosis for an adult with acquired Ichthyosis Vulgaris depends upon treating the underlying medical condition or discontinuing the triggering medication.
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