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A rare case of aplasia cutis congenita

Zhang Chen1, Junjie Ning2

  • 1Department of Pediatrics, Maternal and Child Health Hospital of Fushun County, Sichuan Province, Fushun, 643200, China.

Asian Journal of Surgery
|June 12, 2023
PubMed

Insights

Aplasia cutis congenita (ACC) newborns with scalp defects larger than 2 cm can benefit from conservative treatment. This approach, involving local disinfection and dressing changes, can be a primary choice for neonates without skull defects.

Area of Science:

  • Neonatal dermatology
  • Pediatric surgery
  • Clinical case study

Background:

  • Aplasia cutis congenita (ACC) is a rare congenital skin defect.
  • Standard treatment guidelines vary based on defect size and skull involvement.

Observation:

  • A newborn with ACC presented with a scalp defect exceeding 2 cm.
  • The infant's clinical data were retrospectively analyzed for diagnostic and therapeutic insights.

Findings:

  • Conservative management, including local disinfection and regular dressing changes, promoted epithelial regeneration.
  • Despite the defect size (>2 cm), conservative treatment yielded significant positive outcomes.
  • This challenges the conventional 2 cm diameter threshold for conservative care in ACC.

Implications:

  • Conservative treatment may be considered a viable first-line option for ACC neonates, even with larger scalp defects, if the skull remains intact.
  • Surgical interventions like skin grafting or cranioplasty remain options for severe cases or when conservative methods are insufficient.
  • Further research is warranted to refine treatment protocols for ACC based on defect characteristics and patient outcomes.

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