Lamellar Ichthyosis vs Harlequin Ichthyosis
Feature Lamellar Ichthyosis Harlequin Ichthyosis
Onset At birth (collodion baby) At birth (dramatic presentation)
Genetics TGM1, ALOX12B, CYP4F22, etc. ABCA12 gene mutation
Inheritance Autosomal recessive Autosomal recessive
Skin Appearance Large brown plate-like scales over red skin
Thick, armor-like, hard scales with deep fissures
Face Ectropion, eclabium common Severe ectropion, eclabium, distorted ears
Limbs Contractures can occur Severe contractures, digit hypoplasia/amputatio
Nail & Hair Hair sparse; nails may be dystrophic Nails dystrophic or absent; scalp hair often abse
Systemic Involvement Mild to moderate Severe (feeding problems, infection risk)
Survival Good with supportive care High neonatal mortality
Collodion Membrane Yes, may be present No (armor-like plates instead)
Prognosis Chronic but compatible with life Poor neonatal prognosis
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