Harlequin Syndrome (Bullous Ichthyosiform Erythroderma; Collodion Baby; Congenital Ichthyosis; Epidermolytic Hyperkeratosis; Ichthyosis; Ichthyosis Vulgaris; Lamellar Ichthyosis; Nonbullous Ichthyos 434d38e iform Erythroderma; Xeroderma; X-Linked Ichthyosis)
General: Autosomal inherited disorder; affects both sexes; normal at birth; onset within first 7 days.
Ocular: Keratopathy; corneal scarring; keratitis; conjunctivitis; lagophthalmos; photophobia; ectropion; lid erythema; lacrimation.
Clinical: At birth, the skin surface is moist, red, and tender; within several days, thick verrucous scales form.
Chua CN, Ainsworth J. Ocular management of harlequin syndrome: photo essay. Arch Ophthalmol 2001; 119: 454-455.
Fraunfelder FT, Roy FH. Current Ocular Therapy, 5th ed. Philadelphia: WB Saunders, 2000.
Frost P. Disorders of cornification. In: Moschella SL, et al., eds. Dermatology. Philadelphia: WB Saunders, 1975: 1056-l084.
Magalini SI, Scrascia E. Dictionary of Medical Syndromes, 2nd ed. Philadelphia: JB Lippincott, 1981.
Orth DH, et al. Collodion baby with transient bilateral lid ectropion. Review of ocular manifestations of ichthyosis. Arch Ophthalmol 1974; 91:206-207.
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