Lesão no couro cabeludo de um recém-nascido

Ana Rita Curval, Gracinda Nogueira Oliveira
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Abstract

A full-term newborn infant born by vaginal delivery presented with an oval skin defect on the parietal scalp measuring 0.5x0.5 cm. The scalp lesion was conservatively managed, with complete epithelization after several weeks. This skin lesion is consistent with the typical appearance of aplasia cutis congenita (ACC) on the scalp.ACC is a rare malformation (present in 1 to 3 in 10,000 live births) characterized by localized absence of certain skin layers, mostly on the scalp, but potentially in any part of the body. ACC etiology remains unclear. Diagnosis is mainly clinical and treatment depends on the presence of complications and the child’s condition. A conservative approach is traditionally used for small defects that heal uneventfully with gradual epithelization, as in the present case.
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新生儿头皮的损伤
摘要阴道分娩的足月新生儿在头皮顶骨处出现0.5x0.5 cm的卵形皮肤缺损。头皮病变采用保守治疗,几周后上皮完全形成。此皮肤病变符合头皮先天性皮肤发育不全(ACC)的典型表现。ACC是一种罕见的畸形(10000个活产儿中有1到3个),其特征是某些皮肤层的局部缺失,主要发生在头皮上,但也可能发生在身体的任何部位。ACC病因尚不清楚。诊断主要是临床和治疗取决于并发症的存在和儿童的状况。保守的方法传统上用于小的缺陷,愈合平稳,逐渐上皮化,如本病例。
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