has material basis in germline mutation in ELOVL4 spinocerebellar ataxia type 34 https://www.malacards.org/card/spinocerebellar_ataxia_34 Giroux Barbeau syndrome spinocerebellar ataxia type 34 GARD:0000059 erythrokeratodermia - ataxia UMLS:C1851481 MESH:C535738 DOID:0050981 spinocerebellar ataxia 34 Orphanet:1955 spinocerebellar ataxia and erythrokeratodermia erythrokeratodermia with ataxia NORD:1105 MEDGEN:338703 SCA34 A subtype of autosomal dominant cerebellar ataxia type I (ADCA type I), characterized by papulosquamous, ichthyosiform plaques on the limbs appearing shortly after birth and later manifestations including progressive ataxia, dysarthria, nystagmus and decreased reflexes. MONDO:0007574 SCTID:719255000 Erythrokeratodermia with Ataxia OMIM:133190 erythrokeratoderma autosomal dominant cerebellar ataxia type I hereditary skin disorder