Type V aplasia cutis congenita

Ann Saudi Med 30(2) March-April 2010 www.saudiannals.net 171 A two-hour-old female neonate, a product of nonconsanguineous marriage with unremarkable family history, was brought with well-defined bilaterally symmetrical and superficial erosions on the knees, trunk and lower limbs with sparing of scalp and mucosa (Figure 1). Biopsy revealed an absence of epidermis and superficial dermis. Antenatal records revealed that the mother was diagnosed with a twin pregnancy at 12 weeks gestation with a follow-up scan revealing pregnancy loss (fetus papyraceous). There was no maternal history of drug intake. There were no other congenital malformations. Ultrasonography of the head and abdomen and karyotyping and screening for intrauterine infections were normal. The child was managed conservatively with paraffin gauze dressings. The lesions evolved into fibrous scars (Figure 2). No new skin leFrom the Departments of aNeonatology and Pediatrics and bRadiodiagnosis, Sher-i-Kashmir Institute of Medical Sciences, Srinagar, Kashimr, India