Abstract
Aplasia cutis congenita (ACC) is a rare congenital malformation of primarily the skin; it is most commonly seen on the scalp but can occur anywhere on the body. The exact etiology is still unclear but there are many suggested causes. Classification systems have been proposed to help categorize patients and assist with treatment. Treatment options are controversial and range from conservative to surgical interventions. We report an extreme case of ACC that included a significant part of the skull. We discuss this case and review salient literature. Although such cases of ACC with bony involvement are rare, this aspect of the pathology should be kept in mind when treating or imaging such patients.
Similar content being viewed by others
References
Bharti G, Groves L, David LR, Sanger C, Argenta LC (2011) Aplasia cutis congenita: clinical management of a rare congenital anomaly. The Journal of craniofacial surgery 22:159–165. doi:10.1097/SCS.0b013e3181f73937
Caksen H, Kurtoglu S (2002) Our experience with aplasia cutis congenita. J Dermatol 29:376–379
Casanova D, Amar E, Bardot J, Magalon G (2001) Aplasia cutis congenita. Report on 5 family cases involving the scalp. European journal of pediatric surgery: official journal of Austrian Association of Pediatric Surgery [et al] = Zeitschrift fur Kinderchirurgie 11:280-284. doi:10.1055/s-2001-17158
Droubi D, Rothman IL (2014) Aplasia cutis congenita of the arm with associated radial dysplasia: case report, review of the literature, and proposed classification. Pediatr Dermatol 31:356–359. doi:10.1111/j.1525-1470.2012.01876.x
Duan X, Yang GE, Yu D, Yu C, Wang B, Guo Y (2015) Aplasia cutis congenita: a case report and literature review. Experimental and therapeutic medicine 10:1893–1895. doi:10.3892/etm.2015.2737
Frieden IJ (1986) Aplasia cutis congenita: a clinical review and proposal for classification. J Am Acad Dermatol 14:646–660
Kruk-Jeromin J, Janik J, Rykala J (1998) Aplasia cutis congenita of the scalp. Report of 16 cases. Dermatologic surgery: official publication for American Society for Dermatologic Surgery [et al] 24:549–553
Mesrati H, Amouri M, Chaaben H, Masmoudi A, Boudaya S, Turki H (2015) Aplasia cutis congenita: report of 22 cases. Int J Dermatol 54:1370–1375. doi:10.1111/ijd.12707
Moros Pena M, Labay Matias M, Valle Sanchez F, Valero Adan T, Martin-Calama Valero J, Munoz Albillos M (2000) Aplasia cutis congenita in a newborn: etiopathogenic review and diagnostic approach. Anales espanoles de pediatria 52:453–456
Silberstein E, Pagkalos VA, Landau D, Berezovsky AB, Krieger Y, Shoham Y, Levy A, Rosenberg L, Silberstein T (2014) Aplasia cutis congenita: clinical management and a new classification system. Plastic and reconstructive surgery 134:766e-774e doi:10.1097/prs.0000000000000638
Tempark T, Shwayder TA (2012) Aplasia cutis congenita with fetus papyraceus: report and review of the literature. Int J Dermatol 51:1419–1426. doi:10.1111/j.1365-4632.2012.05545.x
Ustuner P, Dilek N, Saral Y, Ustuner I (2013) Coexistence of aplasia cutis congenita, faun tail nevus and fetus papyraceus. Journal of dermatological case reports 7:93–96. doi:10.3315/jdcr.2013.1148
Zhou J, Zheng L, Tao W (2010) Systemic aplasia cutis congenita: a case report and review of the literature. Pathol Res Pract 206:504–507. doi:10.1016/j.prp.2009.12.011
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
Rights and permissions
About this article
Cite this article
Shrager, S., Voin, V., Iwanaga, J. et al. Extreme aplasia cutis congenita involving the skull. Childs Nerv Syst 33, 1395–1398 (2017). https://doi.org/10.1007/s00381-017-3426-x
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00381-017-3426-x