Bébé collodion et syndrome de détresse respiratoire

Loumouamou, Y.; Boumahni, B.; Kauffmann, E.; Randrianaivo, Hanitra; Jacquemont, Marie‐Line

doi:10.1016/j.jgyn.2011.05.008

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…6g/dl)). We must also recall 8 specific cases encountered on Reunion Island of some familial cases of ichthyosis (see Fig 2 ) [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Clear amniotic fluid aspiration syndrome: A novel description of an old entity

Robillard,

Bonsante,

Boumahni

et al. 2024

PLoS ONE

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Background Clear amniotic fluid aspiration syndrome (CAF-AS) is a very rare event occurring in 0.25% of our term clear amniotic fluids deliveries. The study’s aims were: 1. to characterize the risk factors and outcomes associated with Clear Amniotic Fluid Aspiration Syndrome and 2. to compare the outcomes of Clear Amniotic Fluid Aspiration to Meconium Aspiration. Methods This was an observational study over a 22-year period in a single level-3 medical center. Compared were parturient/labor characteristics and neonatal outcomes in cases with suspected Clear Amniotic Fluid Aspiration to cases suspected for Meconium Aspiration. Results Out of 79,620 term deliveries there were 66,705 (83.8%) clear amniotic fluids and 12,915 (16.2%) meconium stained amniotic fluid (MSAF). Of neonates born with clear amniotic fluid, 166 (0.25%) were diagnosed with Clear Amniotic Fluid Aspiration Syndrome (CAF-AS), while 202 (15.7%) of those born with MSAF, were diagnosed with aspiration syndrome (MSAF-AS). Both conditions had comparable rates of mild manifestation (67.5% vs 69.2%, p = 0.63). Persistent pulmonary hypertension (PPH) occurred 5 times less in CAF-AS than MSAF-AS (4% vs 20%, OR 0.17, P< 0.0001) Both conditions presented similar rates of surfactant without PPH (11.1% vs 13.4%, p = 0.87). There was 1 postnatal death in CAF-AS vs 10 in MSAF. Conclusion CAF-AS were quantitatively quite similar in terms of need of actual active intervention of the neonatologists in the delivery room (166 vs 202, i.e. in terms of numbers of cases and not prevalence) to MSAF-AS.We identified in these cases two major specific causes: hyperkinetic explosive deliveries in multiparas and long-lasting episodes of maternal hypotension due to epidural/spinal anaesthesia during labor. Out of 140 million births per year in the world, it should be of concern that 3 million cases are neglected nowadays. Future studies should evaluate if this CAF-AS should benefit from a more active intervention such as immediate endotracheal suction at birth, this clear fluid being very easy to suction.

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“…6g/dl)). We must also recall 8 specific cases encountered on Reunion Island of some familial cases of ichthyosis (see Fig 2 ) [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

Clear amniotic fluid aspiration syndrome: A novel description of an old entity

Robillard,

Bonsante,

Boumahni

et al. 2024

PLoS ONE

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“…It can also affect the sucking and lung ventilation functions of the newborn, leading to dehydration, malnutrition, hypoxia, and lung infections. 1,2 Current thinking is that multiple types of autosomal recessive congenital ichthyosis (ARCI) can manifest as CB at birth, and ACRI has been found to be associated with mutations in ABCA12, ALOX12B, ALOXE3, CASP14, CERS3, CYP4F22, LIPN, NIPAL4/ICHTHYIN, PNPLA1, ALDH3A2, ERCC2/XPD, ABHD5, SDR9C7, SULT2B1, and TGM1 genes. 3,4 Self-improving collodion ichthyosis (SICI) is a rare type of ARCI.…”

Section: Introductionmentioning

confidence: 99%

Case report of self-improving collodion ichthyosis in the newborn

Zhu,

Jiang,

Shen

et al. 2023

J Int Med Res

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Self-improving collodion ichthyosis (SICI) is a relatively rare subtype of autosomal recessive congenital ichthyosis (ARCI) that is often characterized by a collodion baby (CB) phenotype at birth. A newborn girl, just 1 hour old, presented with taut, shiny, thick yellow crusts, like parchment, and scales on her trunk and upper limbs. The tightening effect had caused both upper eyelids to appear everted, and her lips and auricles were deformed. Based on whole-exome sequencing and examination of the clinical phenotype, the patient was diagnosed with ARCI. After admission, the exposed mucosa was covered with a sterile Vaseline gauze dressing, and she was placed in an incubator set to a temperature of 32°C with a humidity level of 75%. One week later, the parchment-like scales had begun to flake off, and at the age of 3 weeks, all bodily skin appeared normal. SICI was diagnosed. After discharge, the patient was followed up to 3 months of age, at which time her growth and development were comparable to those of her peers. Clinicians should consider SICI as a possible diagnosis when analyzing the prognosis of patients with CB. Reducing water loss and maintaining the electrolyte balance are particularly important for SICI treatment.

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