Keywords: 3-ketodihydrosphingosine reductase; EKVP4; HI, harlequin ichthyosis; KDSR; KDSR, 3-ketodihydrosphingosine reductase; PSEK; PSEK, progressive symmetrical erythrokeratoderma; Progressive symmetrical erythrokeratoderma; genodermatosis; harlequin; ichthyoses.