“…Plasma cholesterol sulfate, which is carried in part by LDLs (35,42,43), can be significantly elevated in certain pathologic conditions, such as cirrhosis of the liver (41), hypercholesterolemia (36,41), and hypothyroidism (44). In recessive X-linked ichthyosis (but not other forms of ichthyosis), a skin disorder characterized by excessive scaling, the levels of plasma cholesterol sulfate are strikingly elevated, often by more than an order of magnitude (34,35,39); furthermore, the high plasma levels are associated with elevated levels of cholesterol sulfate in the stratum corneum of the epidermis (45). On the other hand, plasma dehydroepiandrosterone (DHEA) sulfate, which in young adults is normally as abundant in the circulation as cholesterol sulfate, is not elevated in recessive X-linked ichthyosis (34,35,38,39).…”