Genu Valgum and Lamellar Ichthyosis: Insights into a Rare Presentation

Introduction: The main way that the skin produces Vitamin D, which is necessary for calcium metabolism and skeletal health, is through exposure to ultraviolet B rays. Long-term skin disorders such as ichthyosis can prevent the skin from producing enough Vitamin D, leading to deficiencies and issues...

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Main Authors: Ajay Dodeja, Kirtee Meshram, Sushil Pande, Yash Shewale, Ruchika Nevse
Format: Article
Language:English
Published: Indian Orthopaedic Research Group 2025-04-01
Series:Journal of Orthopaedic Case Reports
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Online Access:https://jocr.co.in/wp/2025/04/01/genu-valgum-and-lamellar-ichthyosis-insights-into-a-rare-presentation/
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author Ajay Dodeja
Kirtee Meshram
Sushil Pande
Yash Shewale
Ruchika Nevse
author_facet Ajay Dodeja
Kirtee Meshram
Sushil Pande
Yash Shewale
Ruchika Nevse
author_sort Ajay Dodeja
collection DOAJ
description Introduction: The main way that the skin produces Vitamin D, which is necessary for calcium metabolism and skeletal health, is through exposure to ultraviolet B rays. Long-term skin disorders such as ichthyosis can prevent the skin from producing enough Vitamin D, leading to deficiencies and issues with bone health. This report highlights the need to take Vitamin D insufficiency and its sequelae into account in clinical care by presenting a case of genu valgum in a patient with lamellar ichthyosis. Similar correlations have also been shown in earlier research, underscoring the necessity of continuing to monitor and educate patients with chronic skin problems about their bone health. Case Report: A 15-year-old Indian boy came to the orthopedic outpatient department complaining of lamellar ichthyosis, progressive knee deformity, and trouble walking over the last 6 months, with a recent exacerbation in the previous month. Upon examination, he had bilateral genu valgum, widespread scaly skin lesions, and biochemical indications of Vitamin D insufficiency. Conclusion: This case study underscores the importance of early diagnosis and treatment of musculoskeletal disorders in patients with chronic skin conditions. It also highlights the unusual association between genu valgum and lamellar ichthyosis. It underscores the need for interdisciplinary teamwork in managing difficult patients and influencing pediatric dermatology, orthopedics, and other medical disciplines. It also contributes to research on the relationship between skin conditions and orthopedic problems, aiming to improve patient outcomes and care.
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spelling doaj-art-1492804784034a7da3204cdacf0dfae82025-08-20T02:37:09ZengIndian Orthopaedic Research GroupJournal of Orthopaedic Case Reports2250-06852321-38172025-04-01154162010.13107/jocr.2025.v15.i04.5428Genu Valgum and Lamellar Ichthyosis: Insights into a Rare PresentationAjay DodejaKirtee MeshramSushil PandeYash ShewaleRuchika NevseIntroduction: The main way that the skin produces Vitamin D, which is necessary for calcium metabolism and skeletal health, is through exposure to ultraviolet B rays. Long-term skin disorders such as ichthyosis can prevent the skin from producing enough Vitamin D, leading to deficiencies and issues with bone health. This report highlights the need to take Vitamin D insufficiency and its sequelae into account in clinical care by presenting a case of genu valgum in a patient with lamellar ichthyosis. Similar correlations have also been shown in earlier research, underscoring the necessity of continuing to monitor and educate patients with chronic skin problems about their bone health. Case Report: A 15-year-old Indian boy came to the orthopedic outpatient department complaining of lamellar ichthyosis, progressive knee deformity, and trouble walking over the last 6 months, with a recent exacerbation in the previous month. Upon examination, he had bilateral genu valgum, widespread scaly skin lesions, and biochemical indications of Vitamin D insufficiency. Conclusion: This case study underscores the importance of early diagnosis and treatment of musculoskeletal disorders in patients with chronic skin conditions. It also highlights the unusual association between genu valgum and lamellar ichthyosis. It underscores the need for interdisciplinary teamwork in managing difficult patients and influencing pediatric dermatology, orthopedics, and other medical disciplines. It also contributes to research on the relationship between skin conditions and orthopedic problems, aiming to improve patient outcomes and care.https://jocr.co.in/wp/2025/04/01/genu-valgum-and-lamellar-ichthyosis-insights-into-a-rare-presentation/genu valgumlamellar ichthyosispediatric orthopedics
spellingShingle Ajay Dodeja
Kirtee Meshram
Sushil Pande
Yash Shewale
Ruchika Nevse
Genu Valgum and Lamellar Ichthyosis: Insights into a Rare Presentation
Journal of Orthopaedic Case Reports
genu valgum
lamellar ichthyosis
pediatric orthopedics
title Genu Valgum and Lamellar Ichthyosis: Insights into a Rare Presentation
title_full Genu Valgum and Lamellar Ichthyosis: Insights into a Rare Presentation
title_fullStr Genu Valgum and Lamellar Ichthyosis: Insights into a Rare Presentation
title_full_unstemmed Genu Valgum and Lamellar Ichthyosis: Insights into a Rare Presentation
title_short Genu Valgum and Lamellar Ichthyosis: Insights into a Rare Presentation
title_sort genu valgum and lamellar ichthyosis insights into a rare presentation
topic genu valgum
lamellar ichthyosis
pediatric orthopedics
url https://jocr.co.in/wp/2025/04/01/genu-valgum-and-lamellar-ichthyosis-insights-into-a-rare-presentation/
work_keys_str_mv AT ajaydodeja genuvalgumandlamellarichthyosisinsightsintoararepresentation
AT kirteemeshram genuvalgumandlamellarichthyosisinsightsintoararepresentation
AT sushilpande genuvalgumandlamellarichthyosisinsightsintoararepresentation
AT yashshewale genuvalgumandlamellarichthyosisinsightsintoararepresentation
AT ruchikanevse genuvalgumandlamellarichthyosisinsightsintoararepresentation