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Ictiose

Последний просмотренный: 20 Aug 2025
Last updated: 11 Jan 2022

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
Полная информация

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
Полная информация

Факторы риска

  • história familiar positiva
  • consanguinidade parental
  • uso de clofazimina, agentes hipolipemiantes ou butirofenona
  • história de linfoma, diabetes mellitus, lúpus eritematoso sistêmico
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • biópsia de pele
  • sulfato de colesterol sérico
  • eletroforese de lipoproteínas
  • atividade da esteroide sulfatase
Полная информация

Исследования, проведение которых нужно рассмотреть

  • ácido fitânico sérico
  • teste genético
  • Tomografia computadorizada (TC)
  • glicose sérica
  • fator antinuclear
Полная информация

Алгоритм лечения

ПРОДОЛЖЕНИЕ

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

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

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.

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