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Ichthyosis linearis circumflexa with bamboo hair: challenges in the diagnosis and management
  1. Tanvi Dev1,
  2. Marwaha Raman Kumar2,
  3. Gomathy Sethuraman1
  1. 1Department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India
  2. 2Senior Consultant Endocrinology and Scientific Advisor (Projects), International Life Sciences Institute (ILSI), New Delhi, India
  1. Correspondence to Professor Gomathy Sethuraman, aiimsgsr{at}


A 15-year-old boy had persistent and refractory erythroderma since early childhood. His parents noticed polycyclic skin lesions and hair fragility around the age of 5 years. He was treated by a local untrained practitioner for more than 3 years without any significant improvement, and he developed weight gain, thinning of skin, muscle weakness and growth retardation. He was evaluated in 2015 and found to have iatrogenic Cushing’s disease with severe skeletal complications and pituitary-adrenal-gonadal suppression, which persisted despite gradual withdrawal of steroids.

  • Dermatology
  • Endocrine system

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  • Contributors TD and GS evaluated and managed the case. MRK evaluated the endocrine part. TD and GS wrote the manuscript and critically revised and approved it. MRK critically revised and approved the manuscript.

  • Competing interests None declared.

  • Patient consent Guardian consent obtained.

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