Presentation
Here, we present two cases of aplasia cutis congenita, which represent two different types of the disease. The first case presented as non-syndromic aplasia cutis congenita of scalp, and the other case presented as a part of Bart′s syndrome. [ingentaconnect.com]
Here, we present two cases of aplasia cutis congenita, which represent two different types of the disease. The first case presented as non-syndromic aplasia cutis congenita of scalp, and the other case presented as a part of Bart's syndrome. [mjdrdypu.org]
Granulation tissue was present in the dermis with fibroblasts and capillaries arranged perpendicular to the skin surface. Hair follicles were present in the biopsy. Some degree of spongiosis was evident. [cags.org.ae]
Aplasia cutis Congenita (ACC) is an uncommon disorder presented at birth [1], which commonly involves the skin of the scalpand other areas, but may involve the subcutaneous tissue, bone, and duramater [2]. [imagejournals.org]
Psychiatrical
- Withdrawn
[…] symbols: BMS1L, KIAA0187 ) Mouse Orthologs Bms1 (Withdrawn symbols: AA408648, AU020092, AU043373, BB007109, BC030906, Bms1l ) Source OMIM:107600 (names, synonyms, disease associated genes), Orphanet (disease classes), HGNC, Ensembl, MGI (gene symbols [mousephenotype.org]
Neurologic
- Communicating Hydrocephalus
Surgical debridement and covering of the defect with a local transposition flap was done, but postoperatively, he developed generalized seizures (controlled by anticonvulsants), MRSA infection of the wound, and communicating hydrocephalus which was managed [cags.org.ae]
Workup
If there is any concern for underlying defects on ultrasound, further workup with MRI is warranted. [statpearls.com]
Pediatric workup ruled out any other malformations or genetic disorders. All patients were treated by conservative wound and skin care without complications. In one case the formation of milia has been observed - an outcome not described before. [unboundmedicine.com]
[…] hypoplasia (Goltz syndrome), • amniotic band disruption complex, • oculocerebrocutaneous (Delleman) syndrome, • scalp-ear-nipple syndrome (Finlay-Mark syndrome), • Kabuki syndrome, • 46XY gonadal dysgenesis We recommend the following procedure for ACC workups [ncbi.nlm.nih.gov]
If any associations are identified, workup for a syndromic cause should be performed and genetic counseling may be appropriate depending on the diagnosis ( 96 ). For many of these conditions, there is currently no effective treatment. [frontiersin.org]
Treatment
Treatment for ACC varies depending on the condition of the infant (5), although conservative treatment is the most popular regimen. [spandidos-publications.com]
Complications are rare, but can be fatal, so early treatment must be achieved. The treatment remains controversial with no consensus between the conservative and surgical approach. [analesdepediatria.org]
Further studies are needed in order to investigate the etiology of the disease and to evaluate treatment methods. Keywords: Aplasia cutis congenital; Lower limbs; Malformation; Treatment. [rbcp.org.br]
Conclusions:Multiple treatment regimens exist for ACC, but there is no consensus on treatment strategies. Conservative treatment has been described and advocated, but many authors have emphasized the disadvantages of this treatment modality. [surgicalneurologyint.com]
2018 3 Aplasia cutis congenita: A report. ( 29547189 ) Sun H.I....GA1dA1k M. 2018 4 Aplasia cutis congenita: Evaluation of signs suggesting extracutaneous involvement. ( 29178194 ) Patel D.P....Yan A.C. 2018 5 A practical approach to the evaluation and treatment [malacards.org]
Prognosis
Prognosis - Aplasia cutis congenita Treatment - Aplasia cutis congenita Resources - Aplasia cutis congenita [checkorphan.org]
Because there are only individual reports for the other forms, it is difficult to calculate a mortality rate or to give an individualized prognosis. [ijponline.biomedcentral.com]
Prognosis Less severe cases usually resolve within weeks to months, but alopecia persists. Underlying or associated defects may significantly affect mortality and morbidity. [orpha.net]
If the condition is associated with other abnormalities or malformations, the prognosis then depends on the nature and severity of the other condition(s). [3] Major complications of aplasia cutis congenita are rare, but can include hemorrhage, secondary [rarediseases.info.nih.gov]
Prognosis The prognosis for aplasia cutis congenita (ACC) is usually excellent. If the defect is small, recovery is uneventful, with gradual epithelialization and formation of a hairless, atrophic scar over several weeks. [emedicine.medscape.com]
Etiology
Evers et al. (1995) provided a list of disorders associated with aplasia cutis congenita, classified according to etiology. [malacards.org]
Etiology Etiology is manifold; genetic factors, teratogens, amniotic adhesion, vascular anomalies, pharmacological agents (e.g. methimazole, benzodiazepines), intrauterine trauma and infections have all been implicated. [orpha.net]
The etiology of ACC is likely multifactorial. [statpearls.com]
The exact etiology is still unknown, and histopathologic features are poorly defined. Methods A series of 10 cases from nine patients was analyzed to characterize the clinicopathologic spectrum and age-related changes of ACC of the scalp. [onlinelibrary.wiley.com]
Aplasia cutis congenita: three cases with three different underlying etiologies. Turk J Pediatr. 2009 Sep-Oct;51(5):510-4. [ghr.nlm.nih.gov]
Epidemiology
Epidemiology Incidence : 0.03% of newborns III. Pathophysiology Congenital absence of skin Embryo nic defect present in a small subset of patients IV. Signs Bulla, ulceration or atrophic lesion V. [fpnotebook.com]
Summary Epidemiology Incidence is approximately 1/10,000 births. Clinical description ACC is noticed immediately at birth and usually presents as a solitary lesion on or near the vertex. [orpha.net]
Complete Issue (PDF) View this article with LENS PreviousNext Email Article Request Permissions Article Alerts Citation Tools Quiz Print Download PDF Insight Alerts Table of Contents Jump to section Article Abstract Educational Gaps Objectives Definition Epidemiology [neoreviews.aappublications.org]
The entry for each disease includes its epidemiology, laboratory findings, genetics, pathogenesis, cutaneous and extracutaneous findings, differential diagnosis, disease course, complications, and follow-up and therapy, where appropriate. [routledge.com]
[…] skull defect plus cutis marmorata telangiectatica congenital plus limb defects plus cardiac anomalies. [6] Bart syndrome is ACC of lower extremities plus epidermolysis bullosa. [7] Setleis syndrome is bilateral temporal ACC plus "leonine" facies. [8] Epidemiology [statpearls.com]
Pathophysiology
Pathophysiology Congenital absence of skin Embryo nic defect present in a small subset of patients IV. Signs Bulla, ulceration or atrophic lesion V. Distribution Most often at the scalp near the vertex VI. [fpnotebook.com]
IRCCS Ca' Granda - Ospedale Maggiore Policlinico, University of Milan, Italy Michela Brena, MD,Post-Graduate School of Dermatology and Venereology, University of Milan, Italy Carlo Gelmetti, MD,chairman of the Pediatric Dermatology Unit, Department of Pathophysiology [routledge.com]
Pathophysiology As previously stated, the exact pathophysiology of ACC is not well understood. [statpearls.com]
Lesions are usually non-inflammatory, well-demarcated and have a variable appearance depending on the size (0.5–10 cm), extent, depth and degree of healing and scarring.[1],[2] The various causative pathophysiological mechanisms include genetic factors [ijdvl.com]
Etiology Pathophysiology The exact pathophysiology for ACC remains a mystery. However, various theories have been proposed, including intrauterine trauma, vascular compromise, teratogens such as infectious agents, and medications. [dermatologyadvisor.com]
Prevention
It proposes that future advances in the prevention, diagnosis, and treatment of common diseases will come as a consequence of our accelerating progress in the field of rare diseases. [books.google.com]
Your skin Holds body fluids in, preventing dehydration Keeps harmful microbes out, preventing infections Helps you feel things like heat, cold, and pain Keeps your body temperature even Makes vitamin D when the sun shines on it Anything that irritates [medlineplus.gov]
Prevention - Aplasia cutis congenita Not supplied. Diagnosis - Aplasia cutis congenita Not supplied. Prognosis - Aplasia cutis congenita Treatment - Aplasia cutis congenita Resources - Aplasia cutis congenita [checkorphan.org]
A complete initial assessment to establish early treatment is necessary to prevent this. Surgery should be considered as an initial therapeutic option in defects >4cm (>12.6cm2) as it prevents the risk of fatal complications. [analesdepediatria.org]
Exposed large veins and sagittal plexus demand urgent surgical approaches to prevent fatal hemorrhages or infections. [unboundmedicine.com]