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Living with Ichthyosis prematurity syndrome

A rare condition with early birth, thick peeling skin, and breathing trouble in newborns that often improves after infancy.

Understanding Ichthyosis prematurity syndrome

Ichthyosis prematurity syndrome is a rare skin condition in which babies are born early, with thick, peeling skin and breathing trouble.

Babies are usually born around 30 to 32 weeks. After the newborn period, health often improves on its own, and the skin changes become milder, with rough bumps around hair follicles and allergy-related (atopic) problems.

Signs & symptoms

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

  • Premature birth
  • Thick skin that peels soon after birth
  • Scaly skin (ichthyosis)
  • Breathing trouble in newborns
  • High eosinophil count (a type of white blood cell)

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 SLC27A4 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 SLC27A4 gene confirm the diagnosis?
What should we expect as skin symptoms change after infancy?
What does a high eosinophil count mean for my child?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesSLC27A4

Changes in the SLC27A4 gene cause this condition. It is inherited in an autosomal recessive pattern, meaning a child inherits a changed copy of the gene from each parent.

GeneticSkin

Also known as: congenital ichthyosis type 4; ichthyosis congenita iv; ichthyosis-prematurity syndrome; idiopathic pneumonia syndrome; ips

Patient organizations

Source: NIH GARD · Ichthyosis prematurity syndromeGARD ID 9886 · 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 prematurity syndrome.

Explore the Ichthyosis prematurity syndrome blog

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