2011
DOI: 10.1001/archdermatol.2011.9
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Harlequin Ichthyosis

Abstract: To assess the clinical outcomes of 45 cases of harlequin ichthyosis and review the underlying ABCA12 gene mutations in these patients.

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Cited by 149 publications
(76 citation statements)
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“…Harlequin ichthyosis, the most severe lethal form of congenital ichthyosis, is characterized by defects in lipid transport, protein phosphatase activity, and differentiation, accompanied by the development of abnormal lamellar body formation in the epidermis [51]. The abnormal development of keratinocyte lamellar bodies is reminiscent of ABCA3 (see above).…”
Section: Lipid Transporters and Diseasementioning
confidence: 99%
See 1 more Smart Citation
“…Harlequin ichthyosis, the most severe lethal form of congenital ichthyosis, is characterized by defects in lipid transport, protein phosphatase activity, and differentiation, accompanied by the development of abnormal lamellar body formation in the epidermis [51]. The abnormal development of keratinocyte lamellar bodies is reminiscent of ABCA3 (see above).…”
Section: Lipid Transporters and Diseasementioning
confidence: 99%
“…The abnormal development of keratinocyte lamellar bodies is reminiscent of ABCA3 (see above). Neonates suffering from this form of ichthyosis have a severely compromised skin barrier resulting in predisposition to sepsis, dehydration and thermal dysregulation [51]. Mutations in ABCA12 were identified in patients with harlequin ichthyosis (Table 1), who had an abnormal and congested stratum corneum filled with vacuole-like immature lamellar granules.…”
Section: Lipid Transporters and Diseasementioning
confidence: 99%
“…In addition to access for antibacterial treatment, for parenteral nutrition (which was not the case for this baby) and hydration, umbilical catheter insertion is indicated soon after birth. The alternative venous access may be on the scalp, peripheral or through PICC (27) ; the latter was adopted to maintain access in the newborn under study.…”
Section: Discussionmentioning
confidence: 99%
“…Fluid balance, serum proteins, albumin and electrolytes should be carefully monitored. When adequate sucking and swallowing is established, breastfeeding should be encouraged with the aim of stimulating the bond between mother and child (27) . Formula administration was initiated due to the reduced milk production reported by the mother; a fact that demonstrated fragility in the performance of specialized professionals to stimulate breast milk production, and later breastfeeding.…”
Section: Discussionmentioning
confidence: 99%
“…Surgical wounding presumably increases the likelihood of systemic infection, which is the leading cause of neonatal death in HI . We recommend the use of topical antibiotics until the wounds are healed.…”
Section: Discussionmentioning
confidence: 99%