raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:457

Harlequin ichthyosis

Synonyms: Autosomal congenital ichthyosis, Harlequin type · HI · Ichthyosis congenita, Harlequin type

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Neonatal
Status
active

A rare autosomal recessive congenital ichthyosis characterized at birth by the presence of large, thick, plate-like shell over the whole body associated with severe ectropion, eclabium, and flattened ears, that later develops into a severe scaling erythroderma. Harlequin ichthyosis is the most severe disorder of this group.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHarlequin ichthyosisAutosomal congenital ichthyosis, Harlequin type · HI · Ichthyosis congenita, Harlequin type
frIchtyose harlequinHI · Ichtyose arlequin · Ichtyose congénitale autosomale, type arlequin
deHarlekin-IchthyoseHI · Ichthyose, kongenitale, Typ Harlequin · Ichthyosis congenita vom Harlequin Typ · Ichthyosis fetalis vom Harlekin Typ
esIctiosis arlequínIctiosis congénita autosómica tipo arlequín · Ictiosis congénita tipo arlequín
itIttiosi ArlecchinoHI · Ittiosi congenita autosomica tipo Arlecchino · Ittiosi congenita tipo Arlecchino
nlHarlekijnichthyosisAutosomale congenitale ichthyosis, Harlekijn-type · HI · Ichthyosis congenita, Harlekijn-type
ptIctiose HarlequimHI · Ictiose congénita autossómica, tipo Harlequim · Ictiose congénita, tipo Harlequim
plRybia łuska arlekinowaRybia łuska płodowa, typu harlekin · Rybia łuska wrodzona, typu harlekin
csHarlequin ichthyosisHI · Vrozená ichthyóza, typ harlekýn · Fetální ichtyóza, typ harlekýn · Plod harlekýn
ukІхтіоз АрлекінаАутосомний вроджений іхтіоз, тип Арлекін · HI · Вроджений іхтіоз, тип Арлекін
zh花斑眼镜蛇样鱼鳞病先天性鱼鳞病Harlequin型
trHarlequin iktiyozHI · İktiyoz fetalis, Harlequin tipi · İktiyoz konjenita, Harlequin tipi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM242500Evalidated
ICD-10Q80.4Especificvalidated
ICD-11EC20.02NTBTindexvalidated
MONDO0009443Evalidated
MeSHC538424Evalidated
UMLSC0239849Evalidated
GARD6568Evalidated
MedDRA10019163Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ABCA12Disease-causing germline mutation(s) inAssessedHGNC:14637ENSG000001444526078002q35ATP binding cassette subfamily A member 1220301593[PMID]_19179616[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Point prevalenceUnknown—WorldwideClass onlyValidatedORPHANET_24920541[PMID]
Cases/families200 casesWorldwideCase(s)Validated24920541[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

18 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0007431Congenital ichthyosiform erythroderma
HP:0000457Depressed nasal ridge
HP:0000656Ectropion
HP:0000364Hearing abnormality
HP:0000962Hyperkeratosis
HP:0008064Ichthyosis
HP:0002205Recurrent respiratory infections
Frequent (79-30%)
HP:0012472Eclabion
HP:0001019Erythroderma
HP:0001376Limitation of joint mobility
Occasional (29-5%)
HP:0000518Cataract
HP:0001944Dehydration
HP:0001829Foot polydactyly
HP:0001161Hand polydactyly
HP:0002047Malignant hyperthermia
HP:0002093Respiratory insufficiency
HP:0100716Self-injurious behavior
HP:0001645Sudden cardiac death

Run the differential on the 7 obligate / very frequent terms

7

Sources for this card