Home | General Information | E-Resources | E-Consultation | E-Learning | Site Map | ORBIS | Feedback
Home > E-Resources Home > QUESTION OF THE WEEK Home > Answers: 2008 Series Home > April 8, 2008
QUESTION OF THE WEEK
VIDEO LIBRARY
OPHTHALMOLOGY BOOKS & MANUALS
Nursing Education
Clinical Challenges
The Ophthalmology Minute
Eye Care Equipment
Ask a Professor
mLearning
ORBIS Program Features
FREE ONLINE JOURNALS
OPHTHALMOLOGY LINKS
I Have a Question

Print ViewPrint this Page
Answers: 2008 Series : April 8, 2008
December 30, 2008  |  December 23, 2008  |  December 16, 2008  |  December 9, 2008  |  December 2, 2008  |  November 25, 2008  |  November 18, 2008  |  November 11, 2008  |  November 4, 2008  |  October 28, 2008  |  October 21, 2008  |  October 14, 2008  |  October 7, 2008  |  September 30, 2008  |  September 23, 2008  |  September 16, 2008  |  September 9, 2008  |  September 2, 2008  |  August 26, 2008  |  August 19, 2008  |  August 12, 2008  |  August 5, 2008  |  July 29, 2008  |  July 22, 2008  |  July 15, 2008  |  July 8, 2008  |  July 1, 2008  |  June 24, 2008  |  June 17, 2008  |  June 10, 2008  |  June 3, 2008  |  May 27, 2008  |  May 20, 2008  |  May 13, 2008  |  May 6, 2008  |  April 29, 2008  |  April 22, 2008  |  April 15, 2008  |  April 8, 2008  |  April 1, 2008  |  March 25, 2008  |  March 18, 2008  |  March 11, 2008  |  March 4, 2008  |  February 26, 2008  |  February 19, 2008  |  February 12, 2008  |  February 5, 2008  |  January 29, 2008  |  January 22, 2008  |  January 15, 2008  |  January 8, 2008  |  January 1, 2008

To see views enlarged, click on the individual pictures...

The patient is a 6-week-old boy.  He has significant problems, but he is taken to the ophthalmologist because of the parents' concerns that the eyes are drying out due to exposure.  This disease has occurred in several males on the mother’s side.

1.  This child’s condition is called:   
 

a -- ichtyosis or ichtyosiform erythroderma

This is icthyosis or ichtysioform disease.

 

2.  The condition is most likely to be inherited as: 
 

c -- X linked

If this appears only in males there is a possibility that this could be transmitted as an X linked (sex linked) recessive.

 

3.  Treatment would be carried out with:
 

d -- simple emollients like petroleum jelly or mineral oil with antibiotics if infected plus preservative free lubricants for the eye

The treatment is with simple emollients like petroleum jelly or mineral oil with antibiotics applied to the fissures if they become infected.  Also, non-preservative eye lubricants should be used as needed. If cicatricial ectropian develops, it may be necessary to perform surgery on the eye lids using full thickness skin grafts.  These can come from the patient’s post auricular area, groin or forearm.

The following answer was provided by a consultant dermatologist:

"The photos are most likely nonbullous congenital ichthyosiform erythroderma, also called collodion baby. At birth the child is encased in a cellophane-like mebrane, which as it sheds leaves red patches and fissures. Ectropion is common. I'm not sure of the inheritance. Treatment: use simple emollients like petroleum jelly or mineral oil, and treat fissures with topical antibiotics if infected."  [Pat Logan, MD]