Accepted
at 1:08 p.m. Mar, 06, 2025
by
TheAnKing
Author:
IantheBFG
Type of change:
Other
Rationale for change
format removing space between images
Before
After
DermNet
DermNet
DermNet
DermNet
Text
{{c3::Epidermolytic}} ichthyosis presents at {{c1::birth::onset}} with erythroderma, blistering, and erosions and later in life with {{c2::hyperkeratosis::skin finding}} with cobblestone pattern (most prominent over joints)
Extra
AKA bullous CIE
Also presents with ridging of the flexures, generalized or localized, variable degree of erythroderma, palmoplantar involvement, and blistering/bullae
Also presents with ridging of the flexures, generalized or localized, variable degree of erythroderma, palmoplantar involvement, and blistering/bullae
Personal Notes
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Missed Questions
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DermPath
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Dermoscopy
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VisualDx
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Full Spectrum of Dermatology
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Dermnemonics
Falling apart wooden chest: Epidermolytic ichthyosis
Bubbles: Blisters, erosions, and erythroderma at birth
Cobblestones: Cobblestone pattern of hyperkeratosis
Bubbles: Blisters, erosions, and erythroderma at birth
Cobblestones: Cobblestone pattern of hyperkeratosis
Dermatographix
Red Baby Bull Fish: Presents at birth with erythroderma
Bubbles: Presents with blistering
Cobble Stone Adult Bull: Has hyperkeratosis with cobblestone pattern in later life.
Congenital Ichthyosiform Erythroderma (CIE)
Bubbles: Presents with blistering
Cobble Stone Adult Bull: Has hyperkeratosis with cobblestone pattern in later life.
Congenital Ichthyosiform Erythroderma (CIE)
- Sunburned baby fish = Congenital ichthyosiform erythroderma
- Rubbing aloe on sunburn = ALOXE3 and ALOX12B mutations
- Ages 3-12 = Reinforces E3 and 12B above
- Red fish inside collodion bubble = Presents with collodion membrane at birth
- Fine white popped bubbles around it = After collodion resolves, fine white scale in generalized distribution
- Elbow pad = Flexures are involved
- Queen fish riding a Harley = Harlequin ichthyosis
- Goggles = Extreme ectropion
- Wind resistance blowing her lips = Eclabium
- Headphones = Ear deformities
- ABC 123 = ABCA12 mutation
- Retinoid asteroid = Early initiation of systemic retinoids and specialized NICU care reduces mortality
- Dead fish = Neonatal death often occurs
- Fish on fire = Death may be due to sepsis
- Baby diver unable to breathe due to broken oxygen tank = Death may be due to respiratory insufficiency
- Bull-fish = Epidermolytic ichthyosis (bullous CIE)
- Pulling a cart = KRT mutations
- Back wheel propped up with a 1-shaped jack = KRT1 mutation
- 1-shaped jack creates bumps in the sand because it can’t roll = Associated with palmoplantar keratosis (PPK)
- O-shaped front wheel rides smoothly = No significant PPK
- Red baby fish blowing bubbles = Presents at birth with erythroderma and blistering
- Adult fish with cobblestone scale pattern = Later in life presents with hyperkeratosis with cobblestone pattern, most prominent over the joints
- Retinoid asteroid causing cobblestones to break = Retinoids can exacerbate skin fragility
- Smelly bullpoop = Frequent skin infections and malodor
Textbook
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Additional Resources
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One by one
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