Keratitis-ichthyosis-deafness (KID) syndrome is a congenital ectodermal dis
order causing erythrokeratoderma, vascularizing keratitis, and neurosensory
deafness, Ichthyosis hystrix is a rare cutaneous disease characterized by
well-demarcated, spiky, verrucous, linear plaques that is believed to be a
clinical and pathologic chimera of two autosomal dominant diseases: epiderm
al nevus and epidermolytic hyperkeratosis. We present a patient with the cl
assic triad of KID syndrome with clinical and histologic features of ichthy
osis hystrix, This case demonstrates that KID syndrome comprises a spectrum
of ectodermal disorders which may include diseases such as hystrix ichthyo
sis and deafness (HID) syndrome.