ICHTHYOSIS ichthyosis image

Definition

It is a group of skin disorders characterized by dry, scaly or thickened skin.

Pathophysiology

genetically heterogeneous skin disease caused by mutants involving multiple genetic loci.

Lamellar ichthyosis is a rare autosomal recessive,

Clinical manifestations

dry skin, fissures and flakiness

scaly skin

pain

itching

skin peeling

Treatment

Management

Pharmacological

hydrotherapy

prescription creams and ointments

soaking baths

use of moisturizers

oral medications such as rentoids

Vitamin A -derived medications

Causes

Prevention

Choose moisturizer such as petroleum jelly or one that contains urea or propylene glycol-chemicals that help keep the skin moist.

Apply moisturizer while the skin is still moist after bathing.

Avoid strongly scented and antibacterial soaps.

Complications

Diet

Avacados

brocoli

Fatty/oily fish

blistering

skin allergies

skin infections

overheating

skin dehydration

poor skin care

skin dehydration

heredity

stronlgy scentered soaps

genetic mutations involving multiple genetic loci

Diagnostic tests(mayo clinic)

physical examination of the affected

skin biopsy

low protein diet

nursing Care Plan

Desired outcome

Nursing intervention

problem

Risk for infection

Patient to be free from secondary infection

Encourage the patient to maintain good personal hygiene methods

assess for signs of infection

Administer oral antibiotics as prescribed

Apply topical antibiotics

Nursing care Plan(nurseslabs)

Desired outcome

Nursing intervention

Problem

Impaired skin integrity

Patient maintains optimal skin integrity within limits of the disease, as evidenced by intact skin

identify signs of itching and scratching

Encourage the patient to adopt skin care routines to decrease skin irritation

Encourage the patient to bath or shower with lukewarm water and mild soap or non-soap cleansers

Asses the skin systematically, look for areas of irritant and allergic contact

Apply topical lubricants immediately after bathing

Okulicz (2003)

Okulicz (2003)

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Okulicz (2003)

Okulicz (2003)