Quantcast 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 the fish-scale appearance typical of ichthyosis. This image displays ichthyosis vulgaris. This image displays the fish-scale-like skin typical of ichthyosis. This image displays rough, dry skin on an extensive area of the trunk typical of ichthyosis. This image displays the bends of the legs, which are usually not affected with ichthyosis vulgaris.
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Picture of Scaly Skin (Ichthyosis Vulgaris): This image displays a close-up of a fine, fish-like scale. Divider line
This image displays a close-up of a fine, fish-like scale.
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Self-Care Guidelines
Hereditary ichthyosis vulgaris tends to improve after puberty, while acquired ichthyosis vulgaris requires treatment of the underlying medical condition.

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, Polysporin® or bacitracin) in order to prevent an infection.
When to Seek Medical Care
If you have very dry, scaly skin despite twice daily application of an over-the-counter moisturizer, be sure to tell your doctor.
Last Modified: 29 Jan 2008
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