Question
A 3yrs female child is brought with fine scales on the body, extensor surfaces of limbs, lower back & most prominently on the shins of both legs. No scaling is seen in the flexures. Presentation is as in the image. What is the condition?
| A. |
Ichthyosis Vulgaris
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| B. |
Milia
|
| C. |
Malassezia furfur
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| D. |
Atopic Dermatitis
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Show Answer
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Correct Answer � A
Explanation
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Ichthyosis Vulgaris (IV)
Synopsis
Epidemiology: Common.
Etiology: ADI. Filaggrin absent or reduced.
Character of scales: Asymptomatic (or mildly itchy)
fine scaling. Scales larger and conspicuous on shins.
Distribution: Extensors of limbs, lower back. Flexures spared.
Associated features: Keratosis pilaris, hyperlinear palms and soles, atopic diathesis.
Treatment: Hydration (by immersing in water) and immediate lubrication (petrolatum; urea+glycerine+water) of skin. Use keratolytic agents (hydroxy acids, propylene glycol, and salicylic acid) when severe.
