Harlequin ichthyosis (HI), also known as 'ichthyosis fetalis,' is an extremely rare autosomal recessive congenital ichthyosis (ARCI) caused by mutations in the ABCA12 gene. It represents the most severe form of ichthyosis, leading to hyperkeratosis and thickening of the skin's keratin layer, resulting in dry, thickened, and armor-like plaques with
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