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Ichthyosis hystrix of Curth-Macklin (IHCM) is a rare type of keratinopathic ichthyosis that is characterized by the presence of severe hyperkeratotic lesions and palmoplantar keratoderma (PPK).
Features include always present findings: Hyperkeratotic papule, Knuckle pad, and Palmoplantar keratoderma; and very common findings: Thickened, rough skin (hyperkeratosis), Recurrent skin infections, Diffuse palmoplantar hyperkeratosis, and Dry, scaly skin (ichthyosis). 15 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Skin | 10 | Fragile skin, Abnormal blistering of the skin, Scaling skin |
KRT1 encodes keratin 1 (644 aa). May regulate the activity of kinases such as PKC and SRC via binding to integrin beta-1 (ITB1) and the receptor of activated protein C kinase 1 (RACK1). Highest expression in Skin Not Sun Exposed Suprapubic (15,626 TPM) and Skin Sun Exposed Lower leg (14,326 TPM).
Ichthyosis hystrix of Curth-Macklin is associated with mutations in the KRT1 gene on chromosome 12.
KRT1 is classified as a druggable target (Kinase category) with score 0.0.
Genetic testing for KRT1 is available. Testing is considered confirmatory for diagnosis.
Biomarker and diagnostic research for ichthyosis hystrix of Curth-Macklin has been reported in the published literature.
Phenotype severity distribution: 3 always present features, 4 very common features, 3 common features.
Estimated prevalence: <1 in 1,000,000 (VERY_RARE).
No clinical trials have been registered for ichthyosis hystrix of Curth-Macklin.
2 publications have been identified in PubMed for ichthyosis hystrix of Curth-Macklin. Research spans Diagnostic / Biomarker (50%) and Review / Meta-Analysis (50%).
Süßmuth K (2026). [PMID: 41892076](https://pubmed.ncbi.nlm.nih.gov/41892076/). *Dermatopathology (Basel)*. [Diagnostic / Biomarker]
Xiang R (2025). [PMID: 40709761](https://pubmed.ncbi.nlm.nih.gov/40709761/). *Acta Derm Venereol*. [Review / Meta-Analysis]
Data assembled from 6 of 12 sources · Last updated Sep 20, 2026, 1:48 AM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Blood and immune system | 2 | Recurrent skin infections, Bleeding with minor or no trauma |
Muscles | 1 | Flexion contracture |
Arms and legs | 1 | Autoamputation of digits |