This image displays the "dirty" appearance typical of ichthyosis vulgaris from retained scales. This image displays the contrast between the dry, shiny skin of a person with ichthyosis (left) and the skin of an unaffected person's hand (right). This image displays a close-up of a fine, fish-like scale. Ichthyosis vulgaris ("fish skin") results in severe dryness of the skin causing flaking and scaling, as displayed in this image. This image displays Ichthyosis Vulgaris, which often runs in families. This image displays ichthyosis vulgaris.
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Picture of Scaly Skin (Ichthyosis Vulgaris): This image displays the "dirty" appearance typical of ichthyosis vulgaris from retained scales. Divider line
This image displays the "dirty" appearance typical of ichthyosis vulgaris from retained scales.
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Self-Care Guidelines
Hereditary ichthyosis vulgaris tends to improve after puberty, while acquired ichthyosis vulgaris requires treatment of the medical condition before it will improve.

However, both conditions should improve by restoring moisture (hydration) to the skin. Creams and ointments are better moisturizers than lotions, and they work best when applied just after bathing, while the skin is still moist. The following over-the-counter products may be helpful:
  • Preparations containing alpha-hydroxy acids such as glycolic acid or lactic acid
  • Creams containing urea
  • Over-the-counter cortisone cream (if the areas are itchy)
Any cracks in the skin should be treated immediately with an over-the-counter topical antibiotic ointment (eg, Neosporin®) in order to prevent an infection.
When to Seek Medical Care
If your child continues to have very dry, scaly skin despite twice daily application of an over-the-counter moisturizer, be sure to tell his/her pediatrician.

Any adult who develops dry, scaly skin that is not improved by twice daily application of an over-the-counter moisturizer should see a physician for evaluation.
Last Modified: 29 Jan 2008
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