Aplasia Cutis Congenita

  • Figure 2.2 A: Seborrheic dermatitis B: ACC, cicatricial (Courtesy of Dr. Michelle B. Bain) C: ACC, bullous (Courtesy of Dr. Michelle B. Bain)
    Figure 2.2
    A: Seborrheic dermatitis
    B: ACC, cicatricial (Courtesy of
    Dr. Michelle B. Bain)
    C: ACC, bullous (Courtesy of
    Dr. Michelle B. Bain)
    Onset before birth; localized defect in epidermis, dermis and/or fat; variable appearance, typically along midline
  • Presents with erosion, ulceration, scar, or membranous defect (ovoid lesion covered by an epithelial membrane)
  • Hair collar sign: ring of dark long hair encircling lesion; ± marker of underlying neural tube defect
  • Typically isolated abnormality, but may be associated with developmental anomalies or following disorders:
   
 
 
Bart Syndrome
ACC of lower extremities + epidermolysis bullosa (dominant dystrophic)
 
Adams–Oliver Syndrome
ACC on scalp (with skull ossification defect) + extensive CMTC + limb defects (reductions, syndactyly) + cardiac abnormalities
 
Seitles Syndrome
Bilateral temporal ACC + abnormal eyelashes, “leonine” facies, upward-slanting eyebrows