Could “islets of sparing” be a clue for neutral lipid storage disease with ichthyosis in patients with congenital ichthyosiform erythroderma?

The prevalent form of ichthyosis in neutral lipid storage disease (NLSDI) is nonbullous congenital ichthyosiform erythroderma (CIE) characterized by fine, whitish scales on erythematous skin over the whole body. Here, we report a late-diagnosed, 25-year-old woman with NLSDI presenting with diffuse e...

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Main Authors: Filiz Topaloglu Demir, Baran Cayhan, Cagla Karaoglan, Zafer Turkoglu, Nesimi Buyukbabani, Mesut Ayer, Bugrahan Duz, Bulent Uyanık
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Indian Journal of Dermatology
Subjects:
Online Access:http://www.e-ijd.org/article.asp?issn=0019-5154;year=2022;volume=67;issue=5;spage=579;epage=582;aulast=Demir
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author Filiz Topaloglu Demir
Baran Cayhan
Cagla Karaoglan
Zafer Turkoglu
Nesimi Buyukbabani
Mesut Ayer
Bugrahan Duz
Bulent Uyanık
author_facet Filiz Topaloglu Demir
Baran Cayhan
Cagla Karaoglan
Zafer Turkoglu
Nesimi Buyukbabani
Mesut Ayer
Bugrahan Duz
Bulent Uyanık
author_sort Filiz Topaloglu Demir
collection DOAJ
description The prevalent form of ichthyosis in neutral lipid storage disease (NLSDI) is nonbullous congenital ichthyosiform erythroderma (CIE) characterized by fine, whitish scales on erythematous skin over the whole body. Here, we report a late-diagnosed, 25-year-old woman with NLSDI presenting with diffuse erythema and fine whitish scales throughout the body with patches of apparently normal skin, “islets of sparing” on her lower extremities. We observed that the size of the normal skin islets changed with time, and even the entire lower extremity was covered with erythema and desquamation like the rest of the body. Frozen section histopathological examinations were made from lesional skin and normal-looking skin; no difference was observed in terms of lipid accumulation. The only noticeable difference was the thickness of the keratin layer. In CIE patients, observation of patches of apparently normal skin or “islets of sparing” might be a clue for NLSDI to be distinguished from other CIE conditions.
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spelling doaj.art-4bddeaeb96ac406e8c63378ff3bcb0242023-01-12T11:31:44ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112022-01-0167557958210.4103/ijd.ijd_1154_20Could “islets of sparing” be a clue for neutral lipid storage disease with ichthyosis in patients with congenital ichthyosiform erythroderma?Filiz Topaloglu DemirBaran CayhanCagla KaraoglanZafer TurkogluNesimi BuyukbabaniMesut AyerBugrahan DuzBulent UyanıkThe prevalent form of ichthyosis in neutral lipid storage disease (NLSDI) is nonbullous congenital ichthyosiform erythroderma (CIE) characterized by fine, whitish scales on erythematous skin over the whole body. Here, we report a late-diagnosed, 25-year-old woman with NLSDI presenting with diffuse erythema and fine whitish scales throughout the body with patches of apparently normal skin, “islets of sparing” on her lower extremities. We observed that the size of the normal skin islets changed with time, and even the entire lower extremity was covered with erythema and desquamation like the rest of the body. Frozen section histopathological examinations were made from lesional skin and normal-looking skin; no difference was observed in terms of lipid accumulation. The only noticeable difference was the thickness of the keratin layer. In CIE patients, observation of patches of apparently normal skin or “islets of sparing” might be a clue for NLSDI to be distinguished from other CIE conditions.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2022;volume=67;issue=5;spage=579;epage=582;aulast=Demirchanarin–dorfman syndromecongenital ichthyosisgenodermatosesneutral lipid storage disease with ichthyosis
spellingShingle Filiz Topaloglu Demir
Baran Cayhan
Cagla Karaoglan
Zafer Turkoglu
Nesimi Buyukbabani
Mesut Ayer
Bugrahan Duz
Bulent Uyanık
Could “islets of sparing” be a clue for neutral lipid storage disease with ichthyosis in patients with congenital ichthyosiform erythroderma?
Indian Journal of Dermatology
chanarin–dorfman syndrome
congenital ichthyosis
genodermatoses
neutral lipid storage disease with ichthyosis
title Could “islets of sparing” be a clue for neutral lipid storage disease with ichthyosis in patients with congenital ichthyosiform erythroderma?
title_full Could “islets of sparing” be a clue for neutral lipid storage disease with ichthyosis in patients with congenital ichthyosiform erythroderma?
title_fullStr Could “islets of sparing” be a clue for neutral lipid storage disease with ichthyosis in patients with congenital ichthyosiform erythroderma?
title_full_unstemmed Could “islets of sparing” be a clue for neutral lipid storage disease with ichthyosis in patients with congenital ichthyosiform erythroderma?
title_short Could “islets of sparing” be a clue for neutral lipid storage disease with ichthyosis in patients with congenital ichthyosiform erythroderma?
title_sort could islets of sparing be a clue for neutral lipid storage disease with ichthyosis in patients with congenital ichthyosiform erythroderma
topic chanarin–dorfman syndrome
congenital ichthyosis
genodermatoses
neutral lipid storage disease with ichthyosis
url http://www.e-ijd.org/article.asp?issn=0019-5154;year=2022;volume=67;issue=5;spage=579;epage=582;aulast=Demir
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