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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Treatments Your Provider May Prescribe
To treat the dry, scaly skin of ichthyosis vulgaris, the physician may recommend a topical cream or lotion containing:
  • 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 a child with hereditary ichthyosis vulgaris is excellent, as most children improve after puberty.


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Last Modified: 22 Dec 2008
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