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keratosis linearis with ichthyosis congenita and sclerosing keratoderma (klick) syndrome is a rare autosomal recessive skin disorder characterized by the association of diffuse, transgressive palmoplantar keratoderma with sclerodactyly, linear hyperkeratotic plaques generally located in flexures, and congenital ichthyosis. the patient is physically and mentally healthy and has no history of any problems related to teeth, nails, hair or mucous membranes. treatment is based on the use of topical keratolytics and oral retinoids