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Living with X-linked ichthyosis with steryl-sulfatase deficiency

A skin condition, mostly in males, in which skin cells shed slowly and build up dark scales, mainly on the trunk and neck.

Understanding X-linked ichthyosis with steryl-sulfatase deficiency

X-linked ichthyosis is a skin disorder in which skin cells don't separate properly at the surface, so scales build up.

Scales are often dark and usually cover only part of the body, most often the trunk and back of the neck. They are usually not found on the face, scalp, palms, or soles. It mostly affects males and is present from birth. Rarely, it is part of a genetic syndrome that affects other body parts.

Signs & symptoms

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

  • Dry skin
  • Dark scales on the trunk and neck
  • Thickened skin (hyperkeratosis)
  • Reduced sweating
  • Clouding of the cornea
  • Attention problems in some people

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 eye disease specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in STS 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
Eye disease specialists (ophthalmologists); 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
Could STS genetic testing confirm the diagnosis?
What skin care can help with scales and dryness?
Does it occur alone or as part of a syndrome in my child?

Quick facts

Symptoms usually startNewborn
InheritanceX-Linked
GenesSTS

It is usually caused by a change or deletion in the STS gene. It is inherited in an X-linked recessive way.

GeneticSkin

Also known as: ichthyosis , x-linked, x-linked recessive; ichthyosis (disease), x-linked; ichthyosis, x linked; ichthyosis, x-linked; placental steroid sulfatase deficiency; recessive x-linked ichthyosis

Patient organizations

Source: NIH GARD · X-linked ichthyosis with steryl-sulfatase deficiencyGARD ID 7904 · 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 X-linked ichthyosis with steryl-sulfatase deficiency.

Explore the X-linked ichthyosis with steryl-sulfatase deficiency blog

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Explore actively recruiting X-linked ichthyosis with steryl-sulfatase deficiency studies with HealthSpark.

HealthSpark

Find actively recruiting studies for X-linked ichthyosis with steryl-sulfatase deficiency with HealthSpark. Share your city to explore research near you.

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

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