Key Clinical Message
Congenital skin dysplasia, especially isolated scalp defects, are difficult to detect prenatally. The prognosis for isolated congenital scalp defects is good. Treatment options include conservative treatment and surgery. The choice of treatment depends on the patient’s individual circumstances.
Abstract: This paper demonstrated two cases of Aplasia cutis congenita (ACC) diagnosed after birth. No abnormalities were seen during the antenatal examination of the fetus during pregnancy. The newborn with the larger scalp defect underwent emergency debridement and suturing combine with local flap transfer immediately after birth and recovered well one month after surgery. The newborn with a smaller scalp defect was treated conservatively after birth with local disinfection, regular dressing changes, and eventually, a scab was formed, which healed entirely after debridement one month after birth. Two children had no hair follicle growth after the healing of the scar. Aplasia cutis congenita may be associated with congenital developmental defects, excessive skin tension, intrauterine infection, or genetics. Early intervention is crucial, and the decision to treat conservatively or surgically should be made concerning the child’s general condition, location, and size of the skin lesion.
Keywords : congenital; skin dysplasia; scalp defects