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Harlequin ichthyosis newborn: A case report.

Maryam Nikbina1, Masoumeh Sayahi1

  • 1Department of Midwifery, Shoushtar Faculty of Medical Sciences, Shoushtar, Iran.

SAGE Open Medical Case Reports
|December 15, 2022
PubMed
Summary

Harlequin ichthyosis, a severe genetic skin disorder, is caused by mutations in the adenosine triphosphate binding cassette A 12 gene. This case highlights the importance of genetic counseling and prenatal diagnosis for affected families.

Keywords:
Dermatopathologycase reportharlequin ichthyosishealthcare delivery

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Area of Science:

  • Medical Genetics
  • Dermatology
  • Prenatal Diagnosis

Background:

  • Harlequin ichthyosis is a rare, severe form of autosomal recessive congenital ichthyoses.
  • It results from mutations in the lipid transporter adenosine triphosphate binding cassette A 12 (ABCA12) gene.
  • This disorder affects fetal development, leading to severe skin abnormalities.

Observation:

  • A case of harlequin ichthyosis occurred in a male infant with no family history of the disorder.
  • Prenatal sonography revealed no abnormalities during the pregnancy.
  • The infant was born to a 24-year-old mother in Iran and tragically died on the fifth day of life.

Findings:

  • The study highlights a sporadic case of harlequin ichthyosis.
  • Confirms the association between harlequin ichthyosis and ABCA12 gene mutations.
  • Underscores the limitations of prenatal sonography in detecting all cases.

Implications:

  • Genetic screening and counseling are recommended for parents at risk.
  • Prenatal diagnosis, primarily through sonographic techniques, is vital for managing harlequin ichthyosis.
  • Early identification can inform reproductive decisions and improve perinatal care.