Резюме
Определение
Анамнез и осмотр
Ключевые диагностические факторы
- descamação
- alterações cutâneas no nascimento (ictiose congênita)
- início na primeira infância (na ictiose vulgar e na ictiose ligada ao cromossomo X)
- início na fase adulta (na ictiose adquirida)
- sexo masculino
- história familiar de ictiose
Другие диагностические факторы
- história de atopia
- história de linfoma, diabetes mellitus, lúpus eritematoso sistêmico
- uso de clofazimina, agentes hipolipemiantes ou butirofenona
- alopecia e ectrópio na ictiose lamelar
- criptorquidia e opacidades corneanas
- surdez, deficiência intelectual, defeitos nos membros, epilepsia, baixa estatura
Факторы риска
- história familiar positiva
- consanguinidade parental
- uso de clofazimina, agentes hipolipemiantes ou butirofenona
- história de linfoma, diabetes mellitus, lúpus eritematoso sistêmico
Диагностические исследования
Исследования, которые показаны в первую очередь
- biópsia de pele
- sulfato de colesterol sérico
- eletroforese de lipoproteínas
- atividade da esteroide sulfatase
Исследования, проведение которых нужно рассмотреть
- ácido fitânico sérico
- teste genético
- Tomografia computadorizada (TC)
- glicose sérica
- fator antinuclear
Алгоритм лечения
ictiose primária (genética)
ictiose secundária (adquirida)
Составители
Авторы
Brittany Craiglow, MD
Associate Adjunct Professor of Dermatology
Yale University
New Haven
CT
Раскрытие информации
BC declares that she is a member of the Foundation for Ichthyosis and Related Skin Types Advisory Board. BC is an author of a reference cited in this topic.
Выражение благодарностей
Dr Brittany Craiglow would like to gratefully acknowledge Dr Timothy Patton, a previous contributor to this topic.
Раскрытие информации
TP declared that he had no competing interests.
Рецензенты
David Cassarino, MD, PhD
Assistant Professor
Department of Pathology and Laboratory Medicine
University of California
Los Angeles
CA
Раскрытие информации
DC declares that he has no competing interests.
Thierry Simonart, MD, PhD
Physician
Department of Dermatology
Erasme University Hospital
Brussels
Belgium
Раскрытие информации
TS declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Список литературы
Основные статьи
Oji V, Traupe H. Ichthyoses: differential diagnosis and molecular genetics. Eur J Dermatol. 2006;16:349-359. Аннотация
Craiglow BG. Ichthyosis in the newborn. Semin Perinatol. 2013;37:26-31.Полный текст Аннотация
Mazereeuw-Hautier J, Vahlquist A, Traupe H, et al. Management of congenital ichthyoses: European guidelines of care, part one. Br J Dermatol. 2019 Feb;180(2):272-81. Аннотация
Shwayder T. Disorders of keratinization: diagnosis and management. Am J Clin Dermatol. 2004;5:17-29. Аннотация
Vahlquist A, Ganemo A, Virtanen M. Congenital ichthyosis: an overview of current and emerging therapies. Acta Derm Venereol. 2008;88:4-14. Аннотация
Mazereeuw-Hautier J, Hernández-Martín A, O'Toole EA, et al. Management of congenital ichthyoses: European guidelines of care, part two. Br J Dermatol. 2019 Mar;180(3):484-95. Аннотация
Статьи, указанные как источники
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Отличия
- Dermatite esteatótica (eczema craquele)
- Dermatite atópica
- Psoríase
Больше ОтличияРекомендации
- Ichthyosis
- Consensus recommendations for the use of retinoids in ichthyosis and other disorders of cornification in children and adolescents
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