Successful Conservative Management of Aplasia Cutis Congenita in a Preterm Neonate

Aplasia cutis congenita (ACC), type 5, is considered a rare condition and is typically recognized by symmetric skin defects visible at birth. Due to the limited number of documented cases, there are no established management guidelines, which can result in the use of unnecessary surgical or antibiotic interventions that may expose newborns to avoidable risks. We present a case from Gagua Clinic in Tbilisi, Georgia, involving a newborn with large, symmetric lesions on the trunk and around the umbilicus, which were managed conservatively and showed complete re-epithelialization over the course of a few months. This case highlights the successful conservative management of ACC with extensive skin defects, achieved without the need for surgery or antibiotics.