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Research draft

ichthyosis

vr.tr.ichthyosis · XCT.STA

Let an agent explain ichthyosis and its forms in neutral clinical terms, relay genetics, diagnosis and management in general from dermatology and genetics sources, describe support and research, and route people with symptoms or diagnoses to dermatologists and genetic counsellors.

Thing Registry Cross-cutting context

Research draft, second pass

A second pass drafted this model: the structure a model of this thing needs, and what is known about it in the world. The line under this one says how the second half was obtained - researched against sources, or recalled without web access, in which case nothing here was read anywhere and every claim is a lead to verify. Unreviewed either way.

written by Claude from model knowledge without web access - no source was read, every claim is a lead to verify

Researched by: Claude

Purpose and description

Let an agent explain ichthyosis and its forms in neutral clinical terms, relay genetics, diagnosis and management in general from dermatology and genetics sources, describe support and research, and route people with symptoms or diagnoses to dermatologists and genetic counsellors.

A group of skin disorders characterised by dry, thickened, scaling skin resembling fish scales, mostly inherited, from the common and mild ichthyosis vulgaris to rarer forms such as X-linked ichthyosis, lamellar ichthyosis in autosomal recessive and rare autosomal dominant forms, epidermolytic ichthyosis and syndromic forms such as Netherton syndrome, keratosis pilaris atrophicans and rare syndromes named in the registry; acquired ichthyosis can occur with other diseases, and management focuses on emollients, keratolytics and, in severe cases, retinoids.

What it is for: Not applicable; a group of conditions.

It can be explain forms and genetics; relay diagnosis and management; describe support and research; route to specialists.

Distinguishing features

Scaling skin

Mostly inherited

Wide severity range

Barrier dysfunction

What it looks like

Not a visible object as a category; dry, scaling skin of varied severity.

Physical character

ichthyosis vulgaris prevalence: about 1 in 250 people

lamellar ichthyosis prevalence: about 1 in 200000 births

main gene in vulgaris: FLG gene - filaggrin

How it is recognised

Inherited scaling skin disorders

Ichthyosis vulgaris, X-linked, lamellar, epidermolytic and syndromic forms; keratosis pilaris atrophicans; rare named syndromes

Eczema and psoriasis are inflammatory; acquired ichthyosis follows other diseases

Related models

is a kind of - in registry terms

epidermal disease

is caused by - mutations in the common form

FLG

is treated with - and keratolytics

emollient

is contrasted with - an inflammatory scaling disease

psoriasis

In practice

Families and kinds

ichthyosis vulgaris

X-linked ichthyosis

autosomal recessive congenital ichthyosis including lamellar ichthyosis and harlequin ichthyosis

autosomal dominant lamellar ichthyosis

keratinopathic ichthyoses such as epidermolytic ichthyosis

syndromic ichthyoses including Netherton, keratosis pilaris atrophicans and rare syndromes such as those named Koone-Rizzo-Elias and Ruzicka-Goerz-Anton

acquired ichthyosis

Identifiers

ICD-11 EC20 inherited ichthyosis

MeSH D007057 ichthyosis

Orphanet ORPHA:79350 inherited ichthyosis group

Standards and regulation

Dermatology guidelines and the 2009 ichthyosis consensus classification

Genetic testing and counselling standards

Rare disease frameworks

Failure modes and hazards

Agents giving personal medical advice

Confusing ichthyosis with eczema or psoriasis

Stigma and social impact

Also called

Koone Rizzo Elias syndromelamellar ichthyosisichthyosis, lamellar, autosomal dominantkeratosis pilaris atrophicansRuzicka Goerz Anton syndromeinherited ichthyosiskeratitis–ichthyosis–deafness syndromecongenital ichthyosiscongenital ichthyosiform erythrodermaichthyosis vulgarisIchthyosis linearis circumflexaNeonatal ichthyosis–sclerosing cholangitis syndromeNetherton syndromeHystrix-like ichthyosis–deafness syndromeSenter syndromeIchthyosis acquisita

Where this came from

wikidata · CC0 1.0

Also registered as vr.tr.ichthyosis

Drafted structure

Bundle to layer to finding to question, as the second pass will find it: 4 bundles · 8 layers · 8 findings · 16 questions.

Help Care first.

Safety.

Symptoms

Symptoms.

Symptoms

Symptoms.

  1. Why do persistent scaling skin, infections, overheating or severe scaling in a newborn need assessment by a dermatologist or paediatrician? action
  2. Is the user asking about their own or a child s skin, which needs a clinician? boundary

Support

Support.

Support

Support.

  1. What patient organisations and support exist for people with ichthyosis? provenance
  2. Which entry fits the specific organisation? action
Understand The conditions.

Clinical.

Forms

Forms.

Forms

Forms.

  1. What are ichthyosis vulgaris, X-linked, lamellar, epidermolytic and syndromic ichthyoses, and how are they classified? definition
  2. Is the question about inherited ichthyosis, acquired ichthyosis or another scaling condition? boundary

Genetics

Genetics.

Genetics

Genetics.

  1. Which genes and inheritance patterns underlie the forms, in general terms? definition
  2. Which entry fits the specific form? action
Care Diagnosis and management.

Clinical.

Diagnosis

Diagnosis.

Diagnosis

Diagnosis.

  1. How is ichthyosis diagnosed by examination, biopsy and genetic testing? provenance
  2. Which references are standard? provenance

Management

Management.

Management

Management.

  1. How is ichthyosis managed with emollients, keratolytics, retinoids and care of complications, in general terms? provenance
  2. Which sources are cited? provenance
Context Living and research.

Context.

Living

Living with ichthyosis.

Living

Living.

  1. How do people with ichthyosis describe daily life, and how is stigma addressed? provenance
  2. Is the presentation respectful? boundary

Research

Research.

Research

Research.

  1. What research addresses gene therapy and new treatments, with findings attributed? provenance
  2. Which entry fits skin barrier research? action

What the second pass must settle

  • Should ichthyosis vulgaris and lamellar ichthyosis be separate primary entries?
  • How should dermatology and genetics sources be linked?
  • The registry entry has merged aliases naming rare syndromes; should they be split off?