Aplasia cutis congenita of the scalp: how much therapy is necessary in large defects?
OBJECTIVE
To show that local antibiotic management and a regular inspection of aplasia cutis congenita of the skull can give an excellent result.


METHODS
This case reports a girl born with aplasia cutis congenita of the skull presenting with a large aplasia of the epidermis, dermis, subcutaneous tissue and galea, including a bone defect without any additional risk factor, e.g. early eschar formation, cerebrospinal fluid leakage or uncommon dural blood vessels.


RESULTS
A primarily conservative treatment with local wet and antibiotic dressings together with a systemic antibiotic treatment for the first 2 wk led to an excellent result and thus prevented untimely operative and peri-operative procedures.


CONCLUSIONS
Here we have shown that conservative treatment might be an option, even if the wound diameter is greater than 1 cm(2), to prevent infants from any untimely operative procedure with an elevated operative risk if any additional risk factors are excluded.
Bernbeck
B
B
Children's Hospital, Heinrich Heine University Medical Centre, Düsseldorf, Germany. Bernbeck@med.uni-duesseldorf.de
Schwabe
J
J
Groninger
A
A
Schaper
J
J
Messing-Jünger
H
H
Mayatepek
E
E
Rosenbaum
T
T
D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D004476:Ectodermal Dysplasia / Q000628:therapy*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D012536:Scalp Dermatoses / Q000628:therapy*
D000900:Anti-Bacterial Agents