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. [mjdrdypu.org]
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]
They were 6.3 cm × 4.2 cm, well-defined and symmetrical, present on bilateral flanks joined with a linear streak [Figure - 1]a. [ijdvl.com]
A band of dark inelastic fibrous material was present within the constriction areas of the right hand (figure 1). [casereports.bmj.com]
Workup
If there is any concern for underlying defects on ultrasound, further workup with MRI is warranted. [statpearls.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]
Microbiology
- Kingella
Refeeding Syndrome; Altitude-associated Illness; Genetic Approaches to Rare and Undiagnosed Diseases; Healthcare−Associated Infections; Intrapartum and Peripartum Infections; Bath salts and other drugs of abuse; Small Fiber Polyneuropathy; Microbiome; Kingella [books.google.com]
Treatment
More Types of Aplasia cutis congenita » Genetics of Aplasia cutis congenita Treatments: Aplasia cutis congenita Treatment : Treatment of aplasia cutis congenita varies depending on the condition of the infant. [familydiagnosis.com]
Treatment for ACC varies depending on the condition of the infant (5), although conservative treatment is the most popular regimen. [spandidos-publications.com]
The treatment strategies that are currently possible are conservative treatment, surgical treatment, or the two combined. In addition, initial treatment can be separated from late reconstructive treatments. [ncbi.nlm.nih.gov]
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]
Because both conservative and surgical treatments have a high risk of multiple complications there is no agreed method of treatment for aplasia cutis congenita. [woundsresearch.com]
Prognosis
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]
Long-term prognosis for Adams-Oliver syndrome is difficult to predict: it is not adequately described in medical literature due to a dearth of cases. [dermnetnz.org]
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
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]
The etiology of the ACC remains uncertain, but the most likely hypotheses are an anormaly either of closure of the neural tube or of the prenatal vascular development [4]. [imagejournals.org]
The involvement of the scalp area may lead to the understanding of the etiology. Upon our review to the literature available, cases were often characterized by an entire absence of skin and subcutaneous tissues. [hindawi.com]
Epidemiology
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]
[…] 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]
Early treatment is recommended to prevent complications such as sagittal sinus haemorrhage, infection, fluid and electrolyte imbalances, or thermal imbalances.2 The aim of this study was to describe the clinical and epidemiological characteristics of [analesdepediatria.org]
Epidemiology Frequency Aplasia cutis congenita (ACC) is an uncommon anomaly of newborns. [emedicine.medscape.com]
Pathophysiology
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]
Pathophysiology and treatment. Yale J Biol Med. 1993; 66 :143–155. [ PMC free article ] [ PubMed ] [ Google Scholar ] 9. Weedon D. Skin pathology. 1st ed. New York: Churchill-Livingstone; 1997. [ Google Scholar ] 10. Bridges AG, Mutasim DF. [ncbi.nlm.nih.gov]
Prevention
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]
The authors of the current study selected a strip of split-thickness skin measuring 0.1 mm to prevent poor healing of the donor site. [woundsresearch.com]
It is hoped that this new knowledge will lead to prevention and treatment of genetic disorders in the future. Information on current clinical trials is posted on the Internet at www.clinicaltrials.gov. [rarediseases.org]
Repair using skin flaps and grafts is only recommended for larger defects, such as those extending down to the dura mater, to prevent any hemorrhage and infection. [orpha.net]
In order to accelerate the healing process and prevent wound infection, skin grafting was performed. [spandidos-publications.com]