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Congenital ichthyosis: a multidisciplinary approach in a neonatal care unit
  1. Joana Valente Dias,
  2. Kátia Cardoso,
  3. Sara Noéme Prado and
  4. Hugo Cavaco
  1. Paediatric Department, Hospital Beatriz Ângelo, Loures, Portugal
  1. Correspondence to Dr Joana Valente Dias; joana.fdias{at}


Congenital ichthyoses are a rare group of genetic disorders caused by defects in the two outermost skin layers, resulting in an abnormal barrier function. We report the case of a male preterm neonate presenting at delivery with thickened and scaling skin, ectropium and eclabium. Supportive care aiming at improving skin condition and handling possible complications was provided. Following gradual clinical improvement, he was discharged after 27 days. Molecular testing identified mutations in a gene encoding lipoxygenase (ALOX12B), associated with autosomal recessive congenital ichthyosis. This case highlights an uncommon disease that can determine significant morbidity and mortality in the first few weeks of life. Management of this complex disease benefits from a multidisciplinary approach. Molecular studies allow a more accurate diagnosis and enable genetic counselling.

  • Paediatrics
  • Dermatology
  • Ophthalmology
  • Congenital disorders
  • Neonatal health

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  • Contributors JVD performed the literature review and prepared the initial manuscript. KC, SNP and HC revised the manuscript. All authors were involved in caring for the patient.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.