Corneocyte desquamation at the skin surface is a complex biologic event whi
ch is normally regulated for providing an inconspicuous shedding of single
corneocytes. When altered, the process gives rise to xerotic and ichthyotic
conditions. The present review focusses on important biologic and molecula
r aspects responsible for normal and altered corneocyte desquamation. There
is a complex relationship between epidermal cell production, maturation an
d desquamative loss. Corneocyte hydration, stratum corneum barrier function
and enzymatic corneodesmolysis are involved in a dynamic interrelationship
. Many physiological and environmental factors acting in a different time f
rame influence desquamation.