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A 2-hour-old newborn boy hospitalized in the neonatal intensive care unit was examined for unusual cutaneous lesions. He had firm plaques covering his body, with fissures especially in flexural areas. Other remarkable findings included edematous hands and feet, ectropion, eclabium, and contractures (Figure).
David P. Kelsell
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Harlequin Ichthyosis: A Case Study
The most severe manifestation of congenital ichthyosis presents itself in the form known as harlequin ichthyosis. Harlequin ichthyosis is characterized by a profound thickening of the fetal skin. Affected infants are born with a thick “horny shell” of dense, waxy, platelike scales with deep, irregular fissures covering the body.
Laura, Murphy-Brown +2 more
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A Review of Harlequin Ichthyosis
Harlequin ichthyosis is an extremely rare and historically lethal congenital disorder of the skin caused by abnormal keratinization. This article reviews the embryology and currently understood pathophysiology of the disease, as well as current methods used to diagnose and treat these infants.
Lt. Jason Layton
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Prenatal diagnosis of harlequin ichthyosis
Clinical Genetics, 1980We report the successful prenatal diagnosis of ichthyosis in the fetus of a woman whose previous liveborn child was affected with “harlequin ichthyosis”. The fetal diagnosis was established through analysis of ultrasonographically guided fetoscopic skin biopsies.
Nancy B Esterly, Sherman Elias, S Elias
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Harlequin ichthyosis — A case report
Pathology, 1995The Harlequin infant represents the most severe form of nonbullous ichthyosis. Although the clinical features of infants with Harlequin ichthyosis are generally similar, histological, ultrastructural, and biochemical analyses have not shown consistent findings.
Jane E. Dahlstrom +2 more
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Harlequin ichthyosis — difficulties in prenatal diagnosis
Journal of Applied Genetics, 2006Ichthyoses belong to the group of genodermatoses, characterized by hyperkeratosis and desquamation of the epidermis. Clinical manifestation is heterogeneous and depends on the type of the disease. Harlequin foetus is the most severe form of congenital ichtyosis, inherited as an autosomal recessive trait.
Katarzyna, Zapałowicz +3 more
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Improving outcomes for harlequin ichthyosis
Journal of the American Academy of Dermatology, 2013Leonard Milstone, Keith A Choate
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Management of harlequin ichthyosis in low-income countries [PDF]
Rossi, G, D Mesia, Mesia, D, G Rossi
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Harlequin Ichthyosis: A Surgical Perspective
Pediatric Dermatology, 2016AbstractLimb constriction or encasement in patients with harlequin ichthyosis can cause tissue injury resulting in necrosis and auto‐amputation. Surgical release of constrictive plaques has been previously demonstrated, but the perioperative and intraoperative considerations surrounding this infrequent intervention have not been discussed in detail ...
Mitchell A, Pet +2 more
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Indian Journal Of Applied Research, 2023
Harlequin ichthyosis (HI) is a rare type of congenital ichthyosis.It is associated with poor survival. Although previously thought to be lethal, there are reports of prolonged survival, following improved 1 supportive care and judicious use of systemic ...
Piush Raj +3 more
semanticscholar +1 more source
Harlequin ichthyosis (HI) is a rare type of congenital ichthyosis.It is associated with poor survival. Although previously thought to be lethal, there are reports of prolonged survival, following improved 1 supportive care and judicious use of systemic ...
Piush Raj +3 more
semanticscholar +1 more source

