Aplasia Cutis Congenita: An Often Isolated Clinical Finding

Gazeta Medica Pub Date : 2023-06-30 DOI:10.29315/gm.v1i1.721
Cátia Martins, Raquel S. Gonçalves, Joana Xará, M. Batista, Rita Carvalho, Rui Castelo
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Abstract

Aplasia cutis congenita (ACC) is a rare congenital condition characterised by the absence of skin, with or without the absence of underlying structures. Can appear as an isolated lesion or associated with other congenital malformations. The approach can be conservative or surgical.We report a case of a full-term male newborn with two adjacent ulcerated lesions with well-demarcated limits in the upper occipital region (20 and 4-5 mm diameter). Other alterations that could be associated with aplasia cutis were identified at examination, so the patient was referred to several consultations, and other system involvement was excluded. Re-evaluation at the first month of life revealed complete healing and conservative treatment was kept.After identification of ACC should be excluded other associated congenital malformations. Particularly if large skin defects or bone involvement is detected (higher risk of complications and mortality).
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先天性皮肤发育不全:一个经常孤立的临床发现
先天性皮肤发育不全(ACC)是一种罕见的先天性疾病,其特征是没有皮肤,有或没有底层结构。可以表现为孤立的病变或与其他先天性畸形相关。这种方法可以是保守的,也可以是外科手术。我们报告了一例足月男性新生儿,其上枕区(直径20和4-5mm)有两个相邻的溃疡病变,界限清晰。在检查中发现了其他可能与皮肤发育不全有关的改变,因此患者被转诊到几次会诊,其他系统受累被排除在外。在生命的第一个月重新评估显示完全愈合,并保持保守治疗。ACC鉴定后应排除其他相关先天畸形。特别是如果检测到较大的皮肤缺陷或骨骼受累(并发症和死亡率较高)。
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发文量
45
审稿时长
9 weeks
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