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May 1973

Congenital Absence of Skin (Aplasia Cutis Congenita)

Author Affiliations

Worcester, Mass
From Worcester (Mass) City Hospital.

Arch Surg. 1973;106(5):732-734. doi:10.1001/archsurg.1973.01350170092025

A case of aplasia cutis congenita occurred. The area in the scalp was 2.5 × 3.5 cm in dimension and was over the vertex. The area rapidly ulcerated and was treated three days after birth with debridement and coverage with a silicone elastomer membrane. Three weeks later the membrane was excised and the area successfully grafted with split-thickness skin. The defect involved the bone but not the underlying dura. Coverage of some sort is a matter of high priority in case there is a defect in the dura.

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