Aplasia Cutis Congenita: A Case Report

Background: Aplasia cutis congenita is characterized by congenital focal absence of skin in a newborn. Case Report: A 45-day-old boy presented to the outpatient clinic of dermatology at King Abdul Aziz Medical City, Jeddah, Saudi Arabia, with a flat scalp lesion on the space of the anterior fontanel...

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Main Authors: Tahani Magliah, Faiza Alghamdi
Format: Article
Language:English
Published: Karger Publishers 2018-07-01
Series:Case Reports in Dermatology
Subjects:
Online Access:https://www.karger.com/Article/FullText/490786
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author Tahani Magliah
Faiza Alghamdi
author_facet Tahani Magliah
Faiza Alghamdi
author_sort Tahani Magliah
collection DOAJ
description Background: Aplasia cutis congenita is characterized by congenital focal absence of skin in a newborn. Case Report: A 45-day-old boy presented to the outpatient clinic of dermatology at King Abdul Aziz Medical City, Jeddah, Saudi Arabia, with a flat scalp lesion on the space of the anterior fontanel. There was a positive family history of such condition in his older brother’s scalp, which resolved spontaneously within 3 weeks after labor, without any medical intervention. There were no associated hemangiomata or other congenital defects in his body. The case was admitted to the hospital. Ultrasound of the head showed bullae over the anterior fontanel, well-defined complex cyst, and an isolated subcutaneous lesion, with no evidence of intracranial extension. The baby was started on intravenous infusion of vancomycin (67 mg in dextrose 5% in water) for 3 days, but no improvement occurred to the scalp cyst. The baby started to receive 15 g of 2% mupirocin ointment, topically three times daily. After 2 days, the scalp cyst gradually decreased in size and became dry within 1 week. Follow-up after 3 months showed that the scalp lesion completely healed, leaving a very small atrophic scar and no further management of the lesion was needed. Conclusions: Aplasia cutis congenita is a rare condition of uncertain etiology, but consanguinity may play a role. Its management depends on its pattern, location, underlying causes, and associated anomalies.
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spelling doaj.art-fa6b27e12d08455a81cfd1b8e943de812022-12-22T01:54:14ZengKarger PublishersCase Reports in Dermatology1662-65672018-07-0110218218610.1159/000490786490786Aplasia Cutis Congenita: A Case ReportTahani MagliahFaiza AlghamdiBackground: Aplasia cutis congenita is characterized by congenital focal absence of skin in a newborn. Case Report: A 45-day-old boy presented to the outpatient clinic of dermatology at King Abdul Aziz Medical City, Jeddah, Saudi Arabia, with a flat scalp lesion on the space of the anterior fontanel. There was a positive family history of such condition in his older brother’s scalp, which resolved spontaneously within 3 weeks after labor, without any medical intervention. There were no associated hemangiomata or other congenital defects in his body. The case was admitted to the hospital. Ultrasound of the head showed bullae over the anterior fontanel, well-defined complex cyst, and an isolated subcutaneous lesion, with no evidence of intracranial extension. The baby was started on intravenous infusion of vancomycin (67 mg in dextrose 5% in water) for 3 days, but no improvement occurred to the scalp cyst. The baby started to receive 15 g of 2% mupirocin ointment, topically three times daily. After 2 days, the scalp cyst gradually decreased in size and became dry within 1 week. Follow-up after 3 months showed that the scalp lesion completely healed, leaving a very small atrophic scar and no further management of the lesion was needed. Conclusions: Aplasia cutis congenita is a rare condition of uncertain etiology, but consanguinity may play a role. Its management depends on its pattern, location, underlying causes, and associated anomalies.https://www.karger.com/Article/FullText/490786Aplasia cutis congenitaSkin diseasesManagement
spellingShingle Tahani Magliah
Faiza Alghamdi
Aplasia Cutis Congenita: A Case Report
Case Reports in Dermatology
Aplasia cutis congenita
Skin diseases
Management
title Aplasia Cutis Congenita: A Case Report
title_full Aplasia Cutis Congenita: A Case Report
title_fullStr Aplasia Cutis Congenita: A Case Report
title_full_unstemmed Aplasia Cutis Congenita: A Case Report
title_short Aplasia Cutis Congenita: A Case Report
title_sort aplasia cutis congenita a case report
topic Aplasia cutis congenita
Skin diseases
Management
url https://www.karger.com/Article/FullText/490786
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