I've been getting a lot of questions specifically about Brenna's skin - what exactly Harlequin Ichthyosis means, what her skin will eventually look like, is there a "cure"?
There are many different kinds of ichthyosis, and Harlequin is the most severe type. All forms are rare genetic disorders. "Ichthy" is actually the Greek root for "fish," which describes the thick scales of skin that are characterized by the condition.
Right now, there is no cure for ichthyosis, but huge strides have been made in treating those with the condition in recent years. Babies with Harlequin typically died within days because of either infection or from respiratory failure because their thick skin restricted breathing. In those early days after Brenna's birth, she would take very short, quick breaths because her chest wasn't able to expand to take deep breaths.
Now, however, there are more and more babies who are surviving infancy thanks to medical education about how to best treat this condition.
As for what Brenna will look like as she grows older, her skin will most likely be very pink or red, and very dry and flaky. We will be giving her a bath once or twice a day to allow moisture to sink into her skin and to help scrub off some of the thick skin that is growing back. Basically Brenna makes too much skin too fast, so by lightly scrubbing in the bath, we can help remove some of that excess skin.
Many of you have watched
that video of Hunter that I posted a link to. Here is a recent photo of Hunter, so you can see what Brenna's skin will look like. (I just love this photo of her all dressed up for a dance - so pretty!)

Even though Brenna has shed her thick white plates of skin that she was born with, she will always have a susceptibility to infection. We will regularly have to put tiny amounts of bleach in her bathwater to kill bacteria on her skin because her skin doesn't provide the barrier to bacteria that normal skin does.
People with ichthyosis are also prone to dehydration, as well as overheating when it's warm or too much heat loss when it's cold, since their skin isn't able to regulate body temperature, so this is another area of concern with Brenna.
If you have any other questions specifically about Harlequin or Brenna's skin, I am happy to try to answer them and add on to this post with more information...
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Edited to add:
Question - is Harlequin painful?
Without having it myself, I can't accurately answer this, but here's what I have observed and read... in the beginning, Brenna did seem to be in some pain. She was getting doses of morphine twice a day to help ease this. After all her skin was "shed," however, the morphine was discontinued and she seems to be doing very well with any discomfort now.
From what I can tell as those with Harlequin grow older is that the skin condition is not necessarily painful, but if the skin gets too dry, it can be pretty uncomfortable. Just as our skin feels much better after we put lotion on, people with ichthyosis feel much better after baths and putting Aquaphor on and just generally staying hydrated.