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About Ichthyosis
Erythrokeratoderma Variablis

Other names: keratosis rubra figurata; Mendes da Costa disease; Giroux-Barbeau syndrome;EKV

OMIM:133200

Inheritance: autosomal dominant

Incidence: rare

Key findings:

  • skin: discrete red, thickened plaques with tightly adherent, yellow-brown, small scales; may be localized or widespread but do not move; separate red patches without scale are transient

Associated findings:

  • neurologic: progressive ataxia beginning in the fifth decade - only in the Giroux-Barbeau syndrome (which has the skin findings of EKV)
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Age at first appearance: birth or within one year

Long-term course: scaly plaques change little over time; red patches vary in intensity, pattern and distribution and may be induced by environmental or emotional changes

Diagnostic tests: analysis of cellular DNA

Abnormal gene: connexin 31

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