Léauté-Labrèze et al1 describe an infant survivor of a monozygotic twin pair with resulting aplasia cutis congenita (ACC) as a possible complication caused by the dead fetal twin. Unfortunately, the authors did not present electron microscopic or immunomapping findings of either the areas of bilateral absence of the skin or of the perilesional bulla of the patient. Photographs of this case (patient 1) along with the history of perilesional bulla and subsequent milia formation suggest a diagnosis of Bart syndrome.
Kanzler MH. Congenital Cutaneous Defects in Co-Twins. Arch Dermatol. 1999;135(8):994. doi:10-1001/pubs.Arch Dermatol.-ISSN-0003-987x-135-8-dlt0899
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: