Anaesthetic Challenges of a Paediatric Patient with Harlequin Ichthyosis


Vol 5 | Issue 1 | Jan-April 2019 | page: 21-23 | Felicia Su-Yen Tan, Mark Jean Aan Koh, Emily Yiping Gan, Angela Siok Hoong Yeo

Authors: Felicia Su-Yen Tan [1], Mark Jean Aan Koh [2], Emily Yiping Gan [2], Angela Siok Hoong Yeo [3].

[1] Medical Doctor, Anaesthesiology, Tan Tock Seng Hospital, singapore
[2] Consultant dermatologist, Dermatology Service, KK Women’s and Children’s Hospital, singapore, Singapore
[3] Consultant of paediatricanaesthesia , KK Women’s and Children’s Hospital, singapore, Singapore

Address of Correspondence

Dr. Felicia Su-Yen Tan,
Medical Doctor, Anaesthesiology, Tan Tock Seng Hospital, singapore


Harlequin Ichthyosis (HI) is a rare form of congenital ichthyosis and these patients are at an increased risk of sepsis, respiratory failure, dehydration and thermoregulatory dysfunction. We present a case of a 2 year old child with active upper respiratory tract infection and a background of harlequin ichthyosis for emergency upper limb surgery under general anaesthesia at our tertiary paediatric hospital. This rare case highlights the importance of a multi-disciplinary approach to perioperative management of harlequin patients undergoing surgery. Key learning points with regards to temperature monitoring, eye care, securing intravenous access and airway management are demonstrated.
Keywords: Harlequin Ichthyosis, paediatrics, anaesthesia


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How to Cite this Article: Tan F S Y, Koh M J A, Gan E Y, Yeo A S H. Anaesthetic Challenges of a Paediatric Patient with Harlequin Ichthyosis. Journal of Anaesthesia and Critical Care Case Reports Jan-April 2019;5(1):21-23.  

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