“…Furthermore, KFSD has been described in association with various conditions, including cutis laxa, “big pinnae,” clinodactyly, arachnodactyly, Noonan’s syndrome, Down’s syndrome, hepatomegaly, and bilateral inguinal hernia [17, 22, 23]; a greater propensity to recurrent systemic bacterial infections has also been reported [18]. Severe pruritus could be present, and it could be related to increased levels of substance P, which have been reported in many inflammatory skin conditions, including alopecia areata, atopic dermatitis, and psoriasis [24].…”