Scaly Skin (Ichthyosis Vulgaris):
Teen information

To treat the dry, scaly skin of ichthyosis vulgaris, the physician may recommend a topical cream or lotion containing the following:

• Prescription-strength alpha- or beta-hydroxy acids (glycolic acid, lactic acid, salicylic acid)
• Prescription-strength urea
• A retinoid medication such as tretinoin or tazarotene
• High concentrations of propylene glycol

For more severe, stubborn ichthyosis vulgaris, oral treatments may include:

• Isotretinoin, a very strong medication with many potential side effects, usually used in the treatment of severe, scarring acne

The prognosis for someone with hereditary ichthyosis vulgaris is excellent, as most individuals improve after puberty.

If acquired ichthyosis vulgaris is suspected, the doctor will likely attempt to determine the underlying medical condition or the medication that triggered its development. The prognosis for an adult with acquired ichthyosis vulgaris depends upon treating the underlying medical condition or discontinuing the triggering medication.