Ichthyosis vulgaris ("fish skin") results in severe dryness of the skin causing flaking and scaling, as displayed in this image. In ichthyosis vulgaris, there is a "dirty-looking," dry, flaky skin surface, as displayed in this image.  This image displays the fish-scale appearance typical of ichthyosis. 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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Scaly Skin (Ichthyosis Vulgaris)  A parent's guide to condition and treatment information

Picture of Scaly Skin (Ichthyosis Vulgaris): Ichthyosis vulgaris ("fish skin") results in severe dryness of the skin causing flaking and scaling, as displayed in this image. Divider line
Ichthyosis vulgaris ("fish skin") results in severe dryness of the skin causing flaking and scaling, as displayed in this image.
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Self-Care Guidelines
Hereditary ichthyosis vulgaris tends to improve after puberty.

In addition, ichthyosis vulgaris 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 your child's bath, 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 a topical antibiotic ointment 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 the doctor.
Last Modified: 22 Dec 2008