December 1985

Aplasia Cutis Congenita and Lymphangiectasia-Reply

Author Affiliations

Pediatrics and Pediatric Research Unit Lady Davis Carmel Hospital 34362 Haifa, Israel

Am J Dis Child. 1985;139(12):1179. doi:10.1001/archpedi.1985.02140140012007

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In Reply.—The main purpose of our article was to draw attention to the association between aplasia cutis congenita and intestinal lymphangiectasia. We are glad that this prompted the comments of Pierce and Slaughter concerning the controversial issue of treatment for such patients. As mentioned in our report, patient 2 was born at another hospital, where the defect was described as extensive (6 cm in diameter) and deep. After three weeks of local treatment, he was discharged and remained at home for another three weeks. When oozing from the area was noticed, the patient was readmitted to the same hospital, but the fatal bleeding occurred before the attempt to cover the defect with normal skin was undertaken. The recent successful nonsurgical treatment of such patients, as reported by Pierce

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