Multiple aplasia cutis congenita type V and fetus papyraceous: a case report and review of the literature
| Autor: | S H Chandraratne, Kavinda Dayasiri, Markandu Thirukumar, N. Thamilvannan, Vijayakumary Thadchanamoorthy |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Twins Scars lcsh:Medicine India Case Report Consanguinity Aplasia cutis congenita 030207 dermatology & venereal diseases 03 medical and health sciences 0302 clinical medicine Fetus Ectodermal Dysplasia Pregnancy medicine Humans Child Skin Surgical team 030219 obstetrics & reproductive medicine Scalp business.industry lcsh:R Infant Newborn General Medicine medicine.disease Dermatology Aplasia cutis congenital Etiology Female medicine.symptom Contracture business |
| Zdroj: | Journal of Medical Case Reports Journal of Medical Case Reports, Vol 15, Iss 1, Pp 1-5 (2021) |
| ISSN: | 1752-1947 |
| Popis: | Background Aplasia cutis congenita is regarded as congenital focal absence of skin in the newborn, and occurrence of more than three similar skin defects is rare. The etiology is thought to be multifactorial, and precise etiopathogenesis is unknown. Case presentation A 13-day-old newborn Sri Lankan Tamil girl was referred to the dermatologic clinic with multiple skin defects at birth. There were six lesions on the body, and two of them had healed during intrauterine period, leaving scars. This was a second twin of her pregnancy. Her first twin fetus had demised before 19 weeks of pregnancy and was confirmed to be fetus papyraceous based on ultrasound-guided fetal assessment. The said child was thoroughly investigated and found to have no other congenital abnormalities. Chromosomal studies yielded normal findings. She was treated with tropical antibacterial ointment, and all lesions resolved spontaneously within 4 weeks, leaving scars. Physiotherapy was commenced to prevent contracture formation, and follow-up was arranged in collaboration with the plastic surgical team. Conclusions Aplasia cutis congenita is a rare condition of uncertain etiology, but consanguinity may play a role. This report described a newborn with type V cutis aplasia congenita in whom the diagnosis was confirmed based on clinical features and revision of antenatal history. The management depends on the pattern, extent, location, severity, underlying causes, and associated anomalies. |
| Databáze: | OpenAIRE |
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