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Living with Epidermolytic ichthyosis

A skin condition present from birth with red, blistering skin that later becomes thick, especially over joints.

Understanding Epidermolytic ichthyosis

Epidermolytic ichthyosis (epidermolytic hyperkeratosis) is a skin condition that is present from birth.

Babies may have very red skin (erythroderma) and severe blisters. Without the protection of normal skin, newborns are at risk of dehydration and skin infections. With age, blistering happens less and the skin becomes thick and often darker, especially over joints, in skin folds, and on the scalp or neck. Bacteria can grow in thick skin and cause an odor. There are two types, depending on whether the palms and soles are thickened.

Signs & symptoms

Symptoms vary from person to person. GARD's summary describes:

  • Very red skin at birth (erythroderma)
  • Blisters, mostly in babies
  • Thick skin (hyperkeratosis)
  • Darker thick skin over joints and folds
  • Thick palms and soles (in the PS type)
  • Skin odor from bacteria in thick skin

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

    Your doctor may refer you to a specialist who knows rare conditions.

  3. Ask which tests can help

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

Care & treatment

Care team
A doctor familiar with rare conditions, plus specialists as needed
Expert care
Ask about multidisciplinary care centers for rare conditions
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 rare disease patient organizations for support
  • 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 type of epidermolytic hyperkeratosis do I or my child have?
How can we prevent skin infections and odor?
What skin care routine do you recommend?

Quick facts

GARD doesn't describe a cause for this condition yet.

Also known as: bcie; bie - bullous ichthyosiform erythroderma; bullous congenital ichthyosiform erythroderma; bullous congenital ichthyosiform erythroderma of brock; bullous erythroderma ichthyosiformis congenita of brocq; bullous ichthyosiform erythroderma

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Epidermolytic ichthyosisGARD ID 24537 · 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 Epidermolytic ichthyosis.

Explore the Epidermolytic ichthyosis blog

Explore research for Epidermolytic ichthyosis

Explore actively recruiting Epidermolytic ichthyosis studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Epidermolytic ichthyosis with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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