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