02/28/2026
Most 18-year-olds are focused on graduation, prom, college, and new beginnings. For Madison “Maddie” Hoffman, the future is bright, and her journey there has required a level of strength most people won’t face in a lifetime. Born with epidermolytic ichthyosis, a rare genetic skin condition affecting only 1 in 200,000 people, Maddie has spent her life navigating a world that wasn't built for fragile skin. She is a young woman on a mission to “turn her disability into something powerful."
Diagnosed at birth, Maddie’s family, friends and Cook Children’s care teams have been impressed with her continuous resilience in facing prejudice, bullying, mental health challenges, pain and hospitalizations due to skin infections. Maddie says she feels empowered to raise awareness of skin conditions and rare diseases.
“God has been so good to me and that resilience comes through because my mentality is ‘OK, it could be worse. How can I make it better?” Maddie said. “How can I make somebody else’s life better?”
There are more than 30 distinct types of ichthyosis, which are rare, mostly genetic disorders. The type Maddie has, epidermolytic ichthyosis, occurs in approximately 1 in 200,000 individuals, according to the National Organization for Rare Disorders. Maddie wants to let other children with rare diseases and disabilities know they aren’t alone.
Cook Children’s dermatologist, Heather Volkman, D.O., says Maddie’s form of ichthyosis makes her skin barrier very fragile and more susceptible to infections. Imagine if you had an open blister at all times. If Maddie acquires bacteria on her skin, such as methicillin-resistant Staph aureus (MRSA), which can be resistant to many antibiotics, it can be difficult to treat the infection and sometimes require hospitalization for intravenous antibiotics.
“I can’t change (my condition), so I might as well use my disability as something really powerful,” Maddie said. “Don’t count us out in this world. We will always 1,000% surprise you. We are empowering people. I believe people with rare diseases can change this world. I believe I can change this world.”
To learn more about Maddie and her inspiring story, visit: https://tinyurl.com/2p9pnjm9