This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
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
BRONSPIEGEL N, IANCU TC. Aplasia Cutis Congenita and Lymphangiectasia-Reply. Am J Dis Child. 1985;139(12):1179. doi:10.1001/archpedi.1985.02140140012007