[Collodion adult: An uncommon clinical form of caustic dermatitis].

Ann Dermatol Venereol

Service de dermatologie, hôpital François-Mitterrand, 4, boulevard Hauterive, 64000 Pau, France.

Published: October 2018

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http://dx.doi.org/10.1016/j.annder.2018.06.007DOI Listing

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We describe a case of collodion baby diagnosed prenatally by ultrasound. Classic signs (ectropion, flattened nose, and eclabion) were detected on routine ultrasound at 21 weeks of gestation. At birth, the presence of collodion membrane was confirmed and subsequently, the diagnosis of an autosomal recessive congenital ichthyosis due to compound heterozygosity of the TGM1 gene was made.

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Lamellar ichthyosis (LI) is a rare autosomal cornification disorder, with most cases due to a mutation in the transglutaminase-1 (TGM1) gene on chromosome 14. Patients with LI usually present with a collodion membrane and mild erythroderma at birth, with the collodion membranes shedding within the first weeks of life and being replaced by a generalized scale. Typically, LI is managed with oral retinoids, emollients, and keratolytic agents, eg, lactic acid.

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