What is Ichthyosis, Congenital, Autosomal Recessive?
Ichthyosis is a rare scaling disorder that may present with symptoms such as psoriasis, contact dermatitis, eczema, and fungal skin infections.
Babies born with the syndrome are usually born in what is called a collodion membrane, a translucent covering, earning them the name collodion babies
This syndrome is also known as:
Collodion Baby, Self-healing, SHCB; Collodion Fetus; Collodion phenotype; Desquamation of Newborn; Ichthyosis-congenital Ichthyosis-exfoliative Ichthyosis-lamellar Ichthyosis Congenita; Ichthyosis Congenita II; ICR2 Ichthyosis Congenital, Autosomal Recessive 1, with Bathing Suit Distribution; Ichthyosis, Lamellar, 1, Formerly; LI1, Formerly Lamellar Exfoliation Of Newborn LI1 LI2 Nonbullous congenital ichthyosiform erythroderma
What gene change causes Ichthyosis, Congenital, Autosomal Recessive?
So far there are 14 genes that have been identified as causing the syndrome. In the US the gene most frequently responsible for causing the syndrome is the TGM1 gene.
This mutation prevents the transglutaminase-1 enzyme from working properly. This prevents the body from developing what is known as the cornified envelope, which protects the skin from heat loss, water loss, and infections.
Other genes associated with the syndrome include the ABCA12, ALOX12B, ALOXE3, ARC17, CASP14, CERS3, CYP4F22, LIPN, NIPAL4, PNPLA1, SDR9C7, SLC27A4, ST14, SULT2B1 genes.
It is inherited in an autosomal recessive pattern. Autosomal recessive inheritance means an affected individual receives one copy of a mutated gene from each of their parents, giving them two copies of a mutated gene. Parents, who carry only one copy of the gene mutation will not generally show any symptoms but have a 25% chance of passing the copies of the gene mutations onto each of their children.
What are the main symptoms of Ichthyosis, Congenital and autosomal Recessive?
The symptoms of the syndrome are all related to the skin. In most cases, these symptoms are considered to be severe.
Possible clinical traits/features:
Autosomal recessive inheritance, Nail dysplasia, Alopecia, Hypotrichosis, Congenital ichthyosiform erythroderma, Flexion contracture, Nail dystrophy, Desquamation of skin soon after birth, Everted lower lip vermilion, Erythroderma, Ectropion, Scaly skin, or skin with a scale like presentation, is the most common symptom of the syndrome. This in turn may trigger secondary complications including skin infections.
How is it diagnosed?
To find out if someone has a diagnosis of Ichthyosis, Congenital or autosomal Recessive, it is important to have a consultation and evaluation with a clinical genetic specialist. Specialists may also suggest specific genetic testing or other types of tests to help reach a diagnosis. FDNA’s AI technology can help speed up the diagnostic process by analyzing facial features and other health information.