This is why some authors believe that HI is a symptom and may not be a distinctive disease. Some have felt that HI results in the somatic mosiacism of the IP gene which allows the condition to be less lethal. The common finding in all these patients is the pigmentary changes and the associations with neurologic, skeletal and other congenital abnormalities. There is no treatment for cutaneous findings. Cover-up makeup can be used if the patient desires.
Diagnosis is important to guide genetic counseling.
There is no surgical treatment for cutaneous problems. Consult for associated surgical problems as determined by physical exam. Consult genetic counseling. Consult neurology, psychiatry, orthopedics, dental or ophthalmology as determined by history and physical exam. There are no limitations on activity.