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Living with Syndromic recessive X-linked ichthyosis

X-linked ichthyosis (dry, scaly skin) that comes with other health features such as learning and development differences.

Understanding Syndromic recessive X-linked ichthyosis

Syndromic recessive X-linked ichthyosis (RXLI) describes cases of X-linked ichthyosis that come with other features outside the skin.

Ichthyosis means dry, scaly skin. In these cases the skin condition is part of a wider syndrome. Features can include developmental delay, intellectual disability, attention problems, and eye changes. Signs may begin in childhood.

Signs & symptoms

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

  • Dry, scaly skin (ichthyosis)
  • Thickened skin
  • Delayed development
  • Intellectual disability
  • Attention problems (ADHD)
  • Cloudy cornea

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
Which skin care helps with scaling?
Which developmental supports should we ask about?
Is genetic testing available for our family?

Quick facts

Symptoms usually startChild
InheritanceX-Linked

Changes in genes (variants) cause this condition. It is X-linked recessive, meaning the gene is on the X chromosome. GARD doesn't list which gene.

GeneticSkin

Also known as: recessive x-linked ichthyosis with extracutaneous manifestations; syndrome associated with recessive x-linked ichthyosis; syndromic rxli; syndromic x-linked ichthyosis

Patient organizations

Source: NIH GARD · Syndromic recessive X-linked ichthyosisGARD ID 17302 · 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 Syndromic recessive X-linked ichthyosis.

Explore the Syndromic recessive X-linked ichthyosis blog

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Explore actively recruiting Syndromic recessive X-linked ichthyosis studies with HealthSpark.

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  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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