Webster D, France J T, Shapiro L J, Weiss R
Lancet. 1978 Jan 14;1(8055):70-2. doi: 10.1016/s0140-6736(78)90005-3.
An assay of cultured skin fibroblasts identified several individuals with 3 beta-hydroxysteroid-sulphate sulphatase deficiency. All patients with this inborn error of metabolism had clinically apparent ichthyosis and a family history of this skin disorder compatible with X-linked inheritance. It is concluded that steroid-sulphatase deficiency is the bio-chemical basis of at least some cases of X-linked ichthyosis.