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Living with Keratosis follicularis spinulosa decalvans

A rare inherited skin condition with thick, rough skin and loss of eyebrows, eyelashes, and hair, starting in childhood.

Understanding Keratosis follicularis spinulosa decalvans

Keratosis follicularis spinulosa decalvans (KFSD) is a rare inherited skin condition with thick, rough, scaly skin.

It is a form of ichthyosis, a group of inherited skin conditions. The face, neck, and forearms are often affected. Thickened skin comes with loss of eyebrows, eyelashes, and hair on the face and head. Allergies, light sensitivity, and inflammation of the cornea may also occur. It starts in childhood.

Signs & symptoms

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

  • Thick, rough skin bumps around hair follicles
  • Red cheeks
  • Itching
  • Slowly worsening hair loss with scarring on the scalp
  • Sparse eyebrows and eyelashes
  • Inflamed hair follicles (folliculitis)

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. 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
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 SAT1 gene confirm the diagnosis?
How can we protect my eyes from light sensitivity and corneal inflammation?
What skin and scalp care is recommended?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant, Autosomal Recessive, X-Linked

KFSD is thought to be caused by changes in the SAT1 gene and inherited in an X-linked way, meaning the gene is on the X chromosome. GARD also lists autosomal dominant and recessive inheritance.

GeneticSkin

Also known as: keratosis follicularis spinulosa decalvans cum ophiasi; keratosis pilaris decalvans

Patient organizations

Source: NIH GARD · Keratosis follicularis spinulosa decalvansGARD ID 6829 · 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 Keratosis follicularis spinulosa decalvans.

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