Epidemiology and clinical characteristics of bullous congenital ichthyosiform erythroderma (keratinolytic ichthyosis) in Japan

Results from a nationwide survey

Michiko Kurosawa, Atsushi Takagi, Akiko Tamakoshi, Takashi Kawamura, Yutaka Inaba, Kazuhito Yokoyama, Yasuo Kitajima, Yumi Aoyama, Keiji Iwatsuki, Shigaku Ikeda

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

Background: Detailed nationwide surveys of the epidemiologic and clinical characteristics of bullous congenital ichthyosiform erythroderma (BCIE) (novel synonym: keratinolytic ichthyosis) in a large population have not been performed previously to our knowledge. Objective: We sought to estimate the number of patients with BCIE who visited dermatology departments in Japan in 2002 and to clarify the clinical and epidemiologic features of the disease. Methods: A nationwide mail survey was sent to dermatology departments and consisted of an initial survey to estimate the number of individuals with BCIE and a second survey to obtain data on the clinical characteristics of these patients. Results: The total number of patients with BCIE in Japan was estimated to be 55 (95% confidence interval, 35-75). Clinical data were able to be collected from 28 cases. Clinical manifestations included rash in 27 cases (96.4%), erythroderma in 19 cases (67.9%), and generalized blistering in 15 cases (57.7%). Approximately 75% of patients younger than 20 years showed generalized blistering. Hystrixlike scales were present in 8 female patients (57.1%), whereas large scales were present in 8 male patients (57.1%). Among the 19 patients for whom histopathological information was available, 17 (89.5%) showed granular degeneration. Limitations: Patients with BCIE who have few subjective symptoms may not have visited a dermatology department, potentially resulting in an underestimation of the number of patients with BCIE. Conclusion: Important epidemiologic and clinical information on characteristics of BCIE in Japan was obtained, including an estimate of the total number of patients with BCIE in Japan.

Original languageEnglish
Pages (from-to)278-283
Number of pages6
JournalJournal of the American Academy of Dermatology
Volume68
Issue number2
DOIs
Publication statusPublished - Feb 2013

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Epidermolytic Hyperkeratosis
Ichthyosis
Japan
Epidemiology
Dermatology
Surveys and Questionnaires
Exfoliative Dermatitis
Postal Service
Exanthema

Keywords

  • bullous congenital ichthyosiform erythroderma
  • bullous ichthyosiform erythroderma
  • epidemiology
  • epidermolytic ichthyosis
  • keratin
  • nationwide survey

ASJC Scopus subject areas

  • Dermatology

Cite this

Epidemiology and clinical characteristics of bullous congenital ichthyosiform erythroderma (keratinolytic ichthyosis) in Japan : Results from a nationwide survey. / Kurosawa, Michiko; Takagi, Atsushi; Tamakoshi, Akiko; Kawamura, Takashi; Inaba, Yutaka; Yokoyama, Kazuhito; Kitajima, Yasuo; Aoyama, Yumi; Iwatsuki, Keiji; Ikeda, Shigaku.

In: Journal of the American Academy of Dermatology, Vol. 68, No. 2, 02.2013, p. 278-283.

Research output: Contribution to journalArticle

Kurosawa, Michiko ; Takagi, Atsushi ; Tamakoshi, Akiko ; Kawamura, Takashi ; Inaba, Yutaka ; Yokoyama, Kazuhito ; Kitajima, Yasuo ; Aoyama, Yumi ; Iwatsuki, Keiji ; Ikeda, Shigaku. / Epidemiology and clinical characteristics of bullous congenital ichthyosiform erythroderma (keratinolytic ichthyosis) in Japan : Results from a nationwide survey. In: Journal of the American Academy of Dermatology. 2013 ; Vol. 68, No. 2. pp. 278-283.
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abstract = "Background: Detailed nationwide surveys of the epidemiologic and clinical characteristics of bullous congenital ichthyosiform erythroderma (BCIE) (novel synonym: keratinolytic ichthyosis) in a large population have not been performed previously to our knowledge. Objective: We sought to estimate the number of patients with BCIE who visited dermatology departments in Japan in 2002 and to clarify the clinical and epidemiologic features of the disease. Methods: A nationwide mail survey was sent to dermatology departments and consisted of an initial survey to estimate the number of individuals with BCIE and a second survey to obtain data on the clinical characteristics of these patients. Results: The total number of patients with BCIE in Japan was estimated to be 55 (95{\%} confidence interval, 35-75). Clinical data were able to be collected from 28 cases. Clinical manifestations included rash in 27 cases (96.4{\%}), erythroderma in 19 cases (67.9{\%}), and generalized blistering in 15 cases (57.7{\%}). Approximately 75{\%} of patients younger than 20 years showed generalized blistering. Hystrixlike scales were present in 8 female patients (57.1{\%}), whereas large scales were present in 8 male patients (57.1{\%}). Among the 19 patients for whom histopathological information was available, 17 (89.5{\%}) showed granular degeneration. Limitations: Patients with BCIE who have few subjective symptoms may not have visited a dermatology department, potentially resulting in an underestimation of the number of patients with BCIE. Conclusion: Important epidemiologic and clinical information on characteristics of BCIE in Japan was obtained, including an estimate of the total number of patients with BCIE in Japan.",
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AU - Kurosawa, Michiko

AU - Takagi, Atsushi

AU - Tamakoshi, Akiko

AU - Kawamura, Takashi

AU - Inaba, Yutaka

AU - Yokoyama, Kazuhito

AU - Kitajima, Yasuo

AU - Aoyama, Yumi

AU - Iwatsuki, Keiji

AU - Ikeda, Shigaku

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N2 - Background: Detailed nationwide surveys of the epidemiologic and clinical characteristics of bullous congenital ichthyosiform erythroderma (BCIE) (novel synonym: keratinolytic ichthyosis) in a large population have not been performed previously to our knowledge. Objective: We sought to estimate the number of patients with BCIE who visited dermatology departments in Japan in 2002 and to clarify the clinical and epidemiologic features of the disease. Methods: A nationwide mail survey was sent to dermatology departments and consisted of an initial survey to estimate the number of individuals with BCIE and a second survey to obtain data on the clinical characteristics of these patients. Results: The total number of patients with BCIE in Japan was estimated to be 55 (95% confidence interval, 35-75). Clinical data were able to be collected from 28 cases. Clinical manifestations included rash in 27 cases (96.4%), erythroderma in 19 cases (67.9%), and generalized blistering in 15 cases (57.7%). Approximately 75% of patients younger than 20 years showed generalized blistering. Hystrixlike scales were present in 8 female patients (57.1%), whereas large scales were present in 8 male patients (57.1%). Among the 19 patients for whom histopathological information was available, 17 (89.5%) showed granular degeneration. Limitations: Patients with BCIE who have few subjective symptoms may not have visited a dermatology department, potentially resulting in an underestimation of the number of patients with BCIE. Conclusion: Important epidemiologic and clinical information on characteristics of BCIE in Japan was obtained, including an estimate of the total number of patients with BCIE in Japan.

AB - Background: Detailed nationwide surveys of the epidemiologic and clinical characteristics of bullous congenital ichthyosiform erythroderma (BCIE) (novel synonym: keratinolytic ichthyosis) in a large population have not been performed previously to our knowledge. Objective: We sought to estimate the number of patients with BCIE who visited dermatology departments in Japan in 2002 and to clarify the clinical and epidemiologic features of the disease. Methods: A nationwide mail survey was sent to dermatology departments and consisted of an initial survey to estimate the number of individuals with BCIE and a second survey to obtain data on the clinical characteristics of these patients. Results: The total number of patients with BCIE in Japan was estimated to be 55 (95% confidence interval, 35-75). Clinical data were able to be collected from 28 cases. Clinical manifestations included rash in 27 cases (96.4%), erythroderma in 19 cases (67.9%), and generalized blistering in 15 cases (57.7%). Approximately 75% of patients younger than 20 years showed generalized blistering. Hystrixlike scales were present in 8 female patients (57.1%), whereas large scales were present in 8 male patients (57.1%). Among the 19 patients for whom histopathological information was available, 17 (89.5%) showed granular degeneration. Limitations: Patients with BCIE who have few subjective symptoms may not have visited a dermatology department, potentially resulting in an underestimation of the number of patients with BCIE. Conclusion: Important epidemiologic and clinical information on characteristics of BCIE in Japan was obtained, including an estimate of the total number of patients with BCIE in Japan.

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KW - epidemiology

KW - epidermolytic ichthyosis

KW - keratin

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