“…A pathophysiologic/functional classification of all MEDOC is a long-term goal, which will require further studies before it can be fully realized. Currently, an initial pathophysiologic scheme for ichthyoses and related diseases is proposed recognizing the following main categories: disorders of keratinocyte proteins (''bricks''), eg, referring to cytoskeleton, cornified lipid/cell envelope, proteases/protease inhibitors, keratohyaline, and disorders of lipid metabolism, assembly, and/or transport (''mortar''), eg, referring to steroid sulfatase deficiency, the proposed hepoxilin pathway, 24 LB defects, and a variety of multisystem lipid metabolism defects such as lysosomal or neutral lipid storage disease. The inclusion of the connexin disorders, ie, EKV and KID, the ichthyosisehypotrichosisesclerosing cholangitis syndrome, and TTDs into the ichthyosis family indicates the additional categories of disorders of cell-cell junctions, and disorders of DNA transcription/repair, respectively.…”