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Living with Autosomal recessive congenital ichthyosis

A group of lifelong skin conditions with scaly skin that starts at birth or in early infancy.

Understanding Autosomal recessive congenital ichthyosis

Autosomal recessive congenital ichthyosis (ARCI) is a group of lifelong skin conditions with scaling over the whole body.

Scaling and redness are usually present at birth or in early infancy. ARCI includes several forms that vary a lot in how they look and how severe they are, including harlequin ichthyosis, lamellar ichthyosis, and congenital ichthyosiform erythroderma. Descriptions of each form help guide care.

Signs & symptoms

GARD describes these main features:

  • Scaly skin all over the body
  • Skin redness (erythema) that varies

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include eye disease specialists, genetic specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Foundation for Ichthyosis and Related Skin Types may keep lists of experts for this condition.

Care & treatment

Care team
Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: Foundation for Ichthyosis and Related Skin Types
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Foundation for Ichthyosis and Related Skin Types and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which form of ichthyosis do I or my child have?
Can genetic testing find the gene involved?
What skin care routine is best for scaling and redness?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

Changes in genes (also called variants) cause this condition. It is autosomal recessive, so a child inherits a changed copy of a gene from each parent.

GeneticSkin

Also known as: arci; autosomal recessive ichthyosis; autosomal recessive inherited ichthyosis; ichthyosis, congenital, autosomal recessive; inherited ichthyosis, autosomal recessive

Patient organizations

Source: NIH GARD · Autosomal recessive congenital ichthyosisGARD ID 21106 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Autosomal recessive congenital ichthyosis.

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