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ESPERIENZE DERMATOLOGICHE

A Journal on Dermatology


Journal of Istituto Dermatologico San Gallicano
Official Journal of the Associazione Dermatologi Ospedalieri Italiani - A.D.O.I.
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Esperienze Dermatologiche 2010 December;12(4):187-90

language: English, Italian

Aplasia cutis congenita

Boccia L. 1, Colasanti P. 2, Caiola A. 1, Zanchini R. 3

1 Unità Operativa di Dermatologia Pediatrica, Azienda Ospedaliera Sant’Anna e San Sebastiano di Caserta
di rilievo nazionale ed alta specializzazione, Caserta, Italia
2 Unità Operativa di Anatomia Patologica, Azienda Ospedaliera Sant’Anna e San Sebastiano di Caserta
di rilievo nazionale ed alta specializzazione, Caserta, Italia
3 Unità Operativa di Dermatologia, Presidio Ospedaliero S. Gennaro, ASL Napoli 1 Centro, Napoli, Italia


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We report the case of a term newborn, observed two days after birth showing at vertex level a red-purplish patch of 10x6 cm width associated with some focal areas of scarring alopecia and an eroded central area, of linear type, 3 cm long. Skin affections were associated to a skull bone surface aplasia in the skull theca in the parasagittal region adjacent to the parietomastoid and interparietal suturae causing a diastasis of the suturae (1 cm around). Aplasia cutis congenita (ACC) is a disease belonging to a heterogeneous group of pathologies characterised, at birth, by the absence of skin portions in local or large areas. The disorder of the abnormal skin development can appear in the scalp in 70%-80% of the cases. The rate is 3 cases by 10.000 newborn.

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