Treatment of Ichthyosis Vulgaris: Structured First-Line Approach to Hyperkeratosis and Scale Removal
Ichthyosis vulgaris is characterised by persistent accumulation of scales and hyperkeratosis. Effective first-line management follows a structured, multi-component approach aimed at progressive reduction of the keratotic burden and restoration of skin smoothness.
Clinical Goals
Therapeutic targets are removal of hyperkeratosis and scales, achieving smoother skin, and facilitating the healing of rhagades.
Treatment Approach
The first-line regimen centres on regular keratolytic bathing combined with daily topical therapy applied across the skin surface.
The complete protocol — agents, application sequence, timing, and full clinical algorithm — is available in the structured regimen below.
References
DOI: 10.1002/ski2.187
- Regular bathing – once or several times a day – cleanses the skin, removes the residue of ointments, and loosens scales.
- In severe ichthyosis cases, it is recommended to apply cream to the entire skin at least once or twice a day.
- General therapeutic goals include the removal of hyperkeratosis and scales, making the skin smoother, facilitating the healing of rhagades, and preventing their occurrence.
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