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Dermatology

ERYTHROKERATODERMAS

Built from Dermatology, 5th Edition

What’s inside

10 sections · 107 slides

  1. 01

    Overview

    • What this section covers
    • A shared vocabulary

    2 slides

  2. 02

    Netherton syndrome

    A triad of ichthyosis, abnormal hair, and immune dysregulation

    • History and naming
    • Epidemiology
    • The faulty gene: SPINK5
    • From gene fault to broken skin barrier
    • How the skin looks at birth
    • Ichthyosis linearis circumflexa
    • Hair shaft abnormalities
    • Trichorrhexis invaginata (bamboo hair)
    • Immune dysregulation
    • Other complications
    • Pathology and diagnosis
    • Telling NTS apart from look-alikes
    • Peeling skin syndromes as a look-alike
    • Peeling skin syndromes
    • Peeling skin syndromes (continued)
    • Treating the newborn with NTS
    • Longer-term and emerging treatment
    • Netherton syndrome in a neonate and infant
    • Double-edged scale of ichthyosis linearis circumflexa

    19 slides

  3. 03

    Sjogren-Larsson syndrome

    Ichthyosis with spasticity and a telltale retinal finding

    • History and epidemiology
    • What goes wrong: a stuck fat-recycling step
    • Skin findings
    • The eye clue: glistening retinal dots
    • Perifoveal glistening retinal dots in Sjogren-Larsson syndrome
    • Nervous system involvement
    • Pathology and diagnosis
    • Telling SLS apart from look-alikes
    • Treatment
    • Sjogren-Larsson syndrome: additional skin findings

    10 slides

  4. 04

    Neutral lipid storage disease with ichthyosis

    Chanarin-Dorfman syndrome: fat trapped inside the body's own cells

    • History, epidemiology, and cause
    • Skin findings
    • A whole-body disease of fat storage
    • Pathology: fat inside white blood cells
    • Telling NLSD apart from look-alikes
    • Treatment

    6 slides

  5. 05

    Trichothiodystrophy with ichthyosis

    Brittle, sulfur-poor hair at the center of a wider syndrome

    • History and epidemiology
    • A defect in the DNA-reading machinery
    • Why TTD and xeroderma pigmentosum differ
    • Hair, skin, and nail findings
    • Photosensitivity and other features
    • Pathology: the "tiger-tail" hair pattern
    • Diagnosis and differential diagnosis
    • Treatment

    8 slides

  6. 06

    The erythrokeratodermas

    Sharply bordered, thickened plaques that shift and grow over time

    • What defines an erythrokeratoderma

    1 slide

  7. 07

    Erythrokeratodermia variabilis et progressiva

    Two historically separate names for one connexin disease

    • History: two names, one disease
    • Epidemiology and cause
    • The transient red-patch phase
    • The stable plaque phase (PSEK)
    • Progressive symmetric erythrokeratoderma
    • Course and triggers
    • Pathology
    • Telling EKVP apart: other gene causes of PSEK
    • Telling EKVP apart: periorificial patterns
    • Telling EKVP apart: other mimics
    • Treatment
    • Erythrokeratodermia variabilis: additional presentations
    • Progressive symmetric erythrokeratoderma: additional patients

    13 slides

  8. 08

    Keratitis-ichthyosis-deafness (KID) syndrome

    A gap-junction disease that touches skin, eyes, and ears together

    • History
    • Epidemiology and cause
    • Skin findings
    • Cyst, infection, and cancer risk
    • Additional mucocutaneous manifestations of KID syndrome
    • Hearing and eye involvement
    • A severe, sometimes fatal neonatal form
    • Pathology and diagnosis
    • Telling KID apart: recessive look-alikes
    • Telling KID apart: other periorificial disorders
    • Features of selected syndromic X-linked ichthyosiform disorders
    • Treatment
    • Radial mouth furrows in KID syndrome
    • Grainy palmar keratoderma in KID syndrome

    14 slides

  9. 09

    X-linked disorders of cholesterol synthesis

    CHILD syndrome and Conradi-Hunermann-Happle syndrome

    • One pathway, two diseases
    • CHILD syndrome: history and cause
    • CHILD syndrome: skin and body findings
    • CHILD syndrome: pathology, testing, and mimics
    • CHILD syndrome: treatment
    • Conradi-Hunermann-Happle syndrome: history and cause
    • Conradi-Hunermann-Happle: skin and skeletal findings
    • Conradi-Hunermann-Happle: diagnosis and treatment

    8 slides

  10. 10

    Other ichthyoses referenced in this chapter

    Additional eBook figures for disorders discussed elsewhere in the book

    • Disorders touched on above, illustrated here
    • Ichthyosis vulgaris: scale pattern and biopsy findings
    • Hyperlinear palms in ichthyosis vulgaris
    • Filaggrin protein staining in ichthyosis vulgaris
    • Epidermolytic ichthyosis in the neonatal period
    • Ichthyosis with confetti
    • Harlequin ichthyosis
    • Further rare syndromic ichthyoses
    • Additional rare syndromic ichthyoses and ichthyosiform disorders
    • Additional rare syndromic ichthyoses and ichthyosiform disorders (continued)
    • Additional rare syndromic ichthyoses and ichthyosiform disorders (continued)
    • Additional rare syndromic ichthyoses and ichthyosiform disorders (continued)
    • Key takeaways
    • Key takeaways, continued
    • References
    • References
    • References
    • References
    • References
    • References
    • References
    • References
    • References
    • References
    • References
    • Dermatology, 5th Edition (2-Volume Set)

    26 slides