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.
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Scaly Skin (Ichthyosis Vulgaris)  Information for adults

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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Treatments Your Provider May Prescribe
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 chance for recovery (prognosis) for a child 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.


Last Modified: 22 Dec 2008