Why does ichthyosis cause dry and scaly skin, and how can you manage it?
### What is Ichthyosis?
Ichthyosis is a group of about 30 skin conditions that cause skin dryness and scaling. The name comes from the Greek word for fish because the skin looks like fish scales. People with ichthyosis lose the protective barrier that keeps moisture in their skin. They also make new skin cells too quickly or shed old cells too slowly, leading to a buildup of thick, scaly skin.
### Causes
Ichthyosis can be genetic (inherited) or acquired. Inherited ichthyosis is passed down from parents and usually shows up in infancy or early childhood. Acquired ichthyosis appears in adulthood and is often linked to other conditions or medications.
### Symptoms
The main symptom is dry, scaly skin, which can appear on parts of the body like the arms, legs, and torso. The scales can be white, gray, or dark brown and may have cracks. Symptoms often worsen in cold, dry weather and improve in warmer weather. Other signs include thickened skin on the palms and soles, deep cracks, and sometimes eczema.
### Complications
Ichthyosis can lead to complications such as skin infections, overheating, and emotional issues like depression and low self-esteem. Kids with ichthyosis are more likely to get infections, and men with the condition are at increased risk of testicular cancer.
### Treatment
While ichthyosis can't be cured, treatments can help manage the symptoms. Daily moisturizing with creams, lotions, or ointments that contain ingredients like lanolin, alpha hydroxy acids, urea, or propylene glycol can add moisture to the skin. Applying lotion right after bathing helps hold in moisture. In severe cases, doctors might prescribe oral retinoid medications. Antibiotics may be needed for skin infections.
### Self-Care Tips
- Moisturize daily
- Use gentle, fragrance-free products
- Take short, lukewarm showers
- Pat your skin dry instead of rubbing
- Wear soft, breathable fabrics
### Support
Connecting with others who have ichthyosis can provide support and new ideas for managing the condition. If you're struggling emotionally, consider talking to a mental health professional.