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Living with Ichthyosis hystrix of Curth-Macklin

A rare inherited skin condition with severe thickened skin patches and thick palms and soles.

Understanding Ichthyosis hystrix of Curth-Macklin

Ichthyosis hystrix of Curth-Macklin (IHCM) is a rare type of keratinopathic ichthyosis with severe thickened skin lesions and thick palms and soles.

IHCM is marked by severe patches of thickened skin (hyperkeratosis) and thickened skin on the palms and soles (palmoplantar keratoderma). GARD lists childhood as the usual time it begins.

Signs & symptoms

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

  • Thickened, scaly skin (ichthyosis)
  • Thick skin on the palms and soles
  • Joints that can't fully straighten (flexion contracture)
  • Poorly formed nails (nail dystrophy)
  • Repeated skin infections
  • Loss of digits (less common)

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 genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in KRT1 are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

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

Care & treatment

Care team
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
Can genetic testing for the KRT1 gene confirm my diagnosis?
How can we prevent and treat skin infections?
Can anything ease the tight joints?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant
GenesKRT1

Changes in the KRT1 gene cause this condition. It is inherited in an autosomal dominant pattern, so one changed copy of the gene can be enough.

GeneticSkin

Also known as: curth-macklin type ichthyosis hystrix; ichthyosis histrix, curth-macklin type; ichthyosis hystrix, curth macklin type; ichthyosis hystrix, curth-macklin type; ihcm

Patient organizations

Source: NIH GARD · Ichthyosis hystrix of Curth-MacklinGARD ID 2954 · 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 Ichthyosis hystrix of Curth-Macklin.

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