Aplasia cutis congenita on the scalp: case report and review of literature

INTRODUCTION: Congenital Cutaneous Aplasia is a rare skin lesion, usually restricted to the scalp, characterized by a focal absence of cutaneous tissue, sometimes involving muscles, periosteum and dura mater. There are several etiologies described, such as poor neural tube closure, vascular anomalie...

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Main Authors: Tiago Lima Castro, Carolina Garcia Pereira, Queila Esteves de Oliveira, Leandro Meirelles Nunes
Format: Article
Language:English
Published: Sociedade Brasileira de Pediatria 2023-09-01
Series:Residência Pediátrica
Subjects:
Online Access:https://residenciapediatrica.com.br/detalhes/1407/aplasia%20cutis%20congenita%20on%20the%20scalp-%20case%20report%20and%20review%20of%20literature
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author Tiago Lima Castro
Carolina Garcia Pereira
Queila Esteves de Oliveira
Leandro Meirelles Nunes
author_facet Tiago Lima Castro
Carolina Garcia Pereira
Queila Esteves de Oliveira
Leandro Meirelles Nunes
author_sort Tiago Lima Castro
collection DOAJ
description INTRODUCTION: Congenital Cutaneous Aplasia is a rare skin lesion, usually restricted to the scalp, characterized by a focal absence of cutaneous tissue, sometimes involving muscles, periosteum and dura mater. There are several etiologies described, such as poor neural tube closure, vascular anomalies, pressure necrosis in the localized embryo, among others. METHOD: We report the case of a newborn at the first physical examination with an annular vesicular lesion, in the occipital region, of 0.8 cm in greater diameter, with hyaline / bloody content and peripheral hyperemia. After a clinical diagnosis was made, we opted for conservative treatment with topical application of hydrogel until complete healing. The patient was then discharged from the hospital, with subsequent return and resolution of the lesion at 30 days of life. CONCLUSION: Congenital cutaneous aplasia is a rare disease, which can affect only the scalp, but can also present with the absence of part of the skullcap, which increases mortality due to the increased risk of complications such as liquor fistula, meningoencephalitis and bleeding.
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spelling doaj.art-f01da2f0c35e4f748b0d855e5828d24c2023-11-27T14:53:46ZengSociedade Brasileira de PediatriaResidência Pediátrica2236-68142023-09-0113310.25060/residpediatr-2023.v13n3-566Aplasia cutis congenita on the scalp: case report and review of literatureTiago Lima Castro0Carolina Garcia Pereira1Queila Esteves de Oliveira2Leandro Meirelles Nunes3Universidade Federal do Rio Grande do Sul, Departamento de Pediatria, Faculdade de Medicina - Porto Alegre - Rio Grande do Sul - BrazilUniversidade Federal do Rio Grande do Sul, Departamento de Pediatria, Faculdade de Medicina - Porto Alegre - Rio Grande do Sul - BrazilHospital de Clínicas de Porto Alegre, Unidade de Alojamento Conjunto, Serviço de Neonatologia - Porto Alegre - Rio Grande do Sul - BrazilUniversidade Federal do Rio Grande do Sul, Departamento de Pediatria, Faculdade de Medicina - Porto Alegre - Rio Grande do Sul - BrazilINTRODUCTION: Congenital Cutaneous Aplasia is a rare skin lesion, usually restricted to the scalp, characterized by a focal absence of cutaneous tissue, sometimes involving muscles, periosteum and dura mater. There are several etiologies described, such as poor neural tube closure, vascular anomalies, pressure necrosis in the localized embryo, among others. METHOD: We report the case of a newborn at the first physical examination with an annular vesicular lesion, in the occipital region, of 0.8 cm in greater diameter, with hyaline / bloody content and peripheral hyperemia. After a clinical diagnosis was made, we opted for conservative treatment with topical application of hydrogel until complete healing. The patient was then discharged from the hospital, with subsequent return and resolution of the lesion at 30 days of life. CONCLUSION: Congenital cutaneous aplasia is a rare disease, which can affect only the scalp, but can also present with the absence of part of the skullcap, which increases mortality due to the increased risk of complications such as liquor fistula, meningoencephalitis and bleeding.https://residenciapediatrica.com.br/detalhes/1407/aplasia%20cutis%20congenita%20on%20the%20scalp-%20case%20report%20and%20review%20of%20literatureectodermal dysplasiadiseasesscalpinfantnewborn
spellingShingle Tiago Lima Castro
Carolina Garcia Pereira
Queila Esteves de Oliveira
Leandro Meirelles Nunes
Aplasia cutis congenita on the scalp: case report and review of literature
Residência Pediátrica
ectodermal dysplasia
diseases
scalp
infant
newborn
title Aplasia cutis congenita on the scalp: case report and review of literature
title_full Aplasia cutis congenita on the scalp: case report and review of literature
title_fullStr Aplasia cutis congenita on the scalp: case report and review of literature
title_full_unstemmed Aplasia cutis congenita on the scalp: case report and review of literature
title_short Aplasia cutis congenita on the scalp: case report and review of literature
title_sort aplasia cutis congenita on the scalp case report and review of literature
topic ectodermal dysplasia
diseases
scalp
infant
newborn
url https://residenciapediatrica.com.br/detalhes/1407/aplasia%20cutis%20congenita%20on%20the%20scalp-%20case%20report%20and%20review%20of%20literature
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