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Ichthyosis (also named fish scale disease) [1] is a family of genetic skin disorders characterized by dry, thickened, scaly skin. [2] The more than 20 types of ichthyosis range in severity of symptoms, outward appearance, underlying genetic cause and mode of inheritance (e.g., dominant, recessive, autosomal or X-linked). [3]
In zoology, a scale (Ancient Greek: λεπίς, romanized: lepís; Latin: squāma) is a small rigid plate that grows out of an animal's skin to provide protection. In lepidopterans ( butterflies and moths ), scales are plates on the surface of the insect wing , and provide coloration.
A fish scale is a small rigid plate that grows out of the skin of a fish. The skin of most jawed fishes is covered with these protective scales , which can also provide effective camouflage through the use of reflection and colouration , as well as possible hydrodynamic advantages.
Also part of the fish's integumentary system are the scales that cover the outer body of many jawed fish. The commonly known scales are the ones that originate from the dermis or mesoderm, and may be similar in structure to teeth. Some species are covered by scutes instead. Others may have no scales covering the outer body.
[13] [9] Early oral retinoid therapy has been shown to soften scales and encourage desquamation. [19] After as little as two weeks of daily oral isotretinoin, fissures in the skin can heal, and plate-like scales can nearly resolve. Improvement in the eclabium and ectropion can also be seen in a matter of weeks.
Skin breathing, known as cutaneous respiration, is common in fish and amphibians, and occur both in and out of water. In some animals waterproof barriers impede the exchange of gases through the skin. For example, keratin in human skin, the scales of reptiles, and modern proteinaceous fish scales impede the exchange of gases.
Scale forms on the skin surface in various disease settings, and is the result of abnormal desquamation. In pathologic desquamation, such as that seen in X-linked ichthyosis, the stratum corneum becomes thicker (hyperkeratosis), imparting a "dry" or scaly appearance to the skin, and instead of detaching as single cells, corneocytes are shed in clusters, which forms visible scales. [2]
Aristotle (ca. 340 B.C.) may have been the first scientist to speculate on the use of hard parts of fishes to determine age, stating in Historica Animalium that “the age of a scaly fish may be told by the size and hardness of its scales.” [4] However, it was not until the development of the microscope that more detailed studies were performed on the structure of scales. [5]