Conservative Management of a Rare Entity—Aplasia Cutis Congenita: A Case Report

Abstract

Aplasia cutis congenita (ACC) is a rare entity characterized by a congenital localized absence of the skin, dermal appendages, and subcutaneous tissue. The cause of ACC is not clear, but inheritance is the most widely accepted cause. We report a rare case of a full-term (37 + 5 weeks) female newborn who showed complete absence of skin in localized areas of the upper and lower extremities. The patient was diagnosed with ACC associated with epidermolysis bullosa (EB; a disease that causes the skin to blister easily) and was initially treated using conservative measures. We applied mupirocin topical ointment and a nonocclusive polyester mesh impregnated with hydrocolloid and petroleum jelly daily. Complete healing of the affected areas occurred after 3 weeks. Managing patients with ACC is often challenging and based on the severity of the lesions, the approach may include both surgical and conservative treatment. Our case report suggests that a conservative approach can be effective for managing certain types of ACC and EB lesions. However, further research is warranted to better understand the pathogenesis and optimal management of this entity.

Plastic and Aesthetic Nursing Knowledge

“…A study examining patient satisfaction and scar quality following upper blepharoplasty using a simplified preoperative marking technique developed by the authors (Dossan et al, 2023) is included, as well as a case study examining hand massage as a mechanism for relieving anxiety in preoperative patients (Rahmi et al, 2023). Alvedro-Ruiz et al (2023) provide an easy and effective method for avoiding intraoperative pedicle kinking, and Chang-Azancot et al (2023) report on a rare case of aplasia cutis congenita and the excellent results they obtained with conservative management of this condition. Finally, there is a very interesting article by Varga and Gross (2023) discussing oxidative stress status and its relationship to skin aging.…”