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Living with Congenital nonbullous ichthyosiform erythroderma

A genetic skin condition in which babies are born with a tight membrane, followed by red, scaly skin.

Understanding Congenital nonbullous ichthyosiform erythroderma

Congenital nonbullous ichthyosiform erythroderma (NBCIE) is a genetic condition that mainly affects the skin.

Many babies are born with a tight, clear sheath over the skin called a collodion membrane, which usually sheds in the first few weeks. After that the skin is red (erythroderma) and covered with fine white scales (ichthyosis). Infants can develop infections, dehydration, and breathing problems early in life. Some people have thickened palms and soles, little or no sweating, nail changes, or hair loss. Some skin problems may improve by adulthood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Red skin (erythroderma)
  • Fine white scales (ichthyosis)
  • Thick palms and soles
  • Less sweating (hypohidrosis)
  • Itching
  • Eyelids turned outward (ectropion)

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 gene is involved, and would genetic testing help our family?
How should we care for the skin and keep it moisturized?
What can help with overheating, itching, and eye problems?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticSkin

Also known as: alligator skin; cie; collodion baby; congenital ichthyosiform erythroderma; congenital ichthyosiform erythroderma (disease); congenital lamellar ichthyosis

Patient organizations

Source: NIH GARD · Congenital nonbullous ichthyosiform erythrodermaGARD ID 9736 · 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 Congenital nonbullous ichthyosiform erythroderma.

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