Ichthyosis is the name given to a group of disorders characterized by a generalized persistent non-inflammatory scaling disorder of the skin surface. The term derives from a fanciful likeness of the skin surface to fish skin, although the scale of most fish is mesodermal rather than ectodermal in origin.
A collodion baby is an infant born with a tough, parchment-like membrane covering that subsequently desquamates over several days leaving large, platelike scales and depending on the persistence of erythema develops into one of the ichthyosiform disorders
The purpose of this paper is to describe a rare case of a collodion baby and to document her full expression to lamellar ichthyosis (LI).
STUDY DESIGN: Case Report
STUDY SETTING: Tertiary Government Hospital (JRRMMC)
STUDY POPULATION: Two-day old infant, with erythroderma, dry, cracked skin, ectropiono and eclabium.
A two-day old infant born with a collodion membrane with erythoderma, generalized scaling, ectropion, eclabion and eclabium was described. Histophatologic findings were consistent with lamellar ichtyosis. Her evolution to lamellar ichthyosis was documented.
Although rare, every primary health care worker should be able to recognize a collodion baby and institute immediate care to prevent dehydration, infection, keratitis and problems with feeding. Understanding the role genetics play in lamellar ichthyosis particularly its 25% chance to be inherited in each pregnancy is integral to parent education.