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叙利亚新生儿中出现睑外翻的火棉胶婴儿:一项病例报告研究。

Collodion baby with ectropion in a Syrian newborn: a case report study.

作者信息

Soqia Jameel, Mohamad Lama, Aloqla Nizaar Adnan, Al Mouallem Mhd Moamen, Eid Mohammed Nader

机构信息

Faculty of medicine, Damascus University, Damascus, Syria.

出版信息

Ann Med Surg (Lond). 2023 Apr 3;85(5):1902-1905. doi: 10.1097/MS9.0000000000000382. eCollection 2023 May.

Abstract

UNLABELLED

Collodion baby is a rare congenital disorder and a very intense disorder in which the baby suffers from several complications, such as trans-epidermal water loss. Only ∼270 cases of collodion babies have been reported in the literature since 1892. This disease may later develop one of a spectrum of diseases including lamellar ichthyosis, which the patient may had Congenital lamellar ichthyosis with ectropion, which was clinically distinguished by the collodion baby phenotype at birth.

CASE PRESENTATION

The authors are reporting the first case in Syria, a 20-day-old white Syrian male newborn, vaginally delivered at 38 weeks of pregnancy, with normal conditions, and congenital lamellar ichthyosis was shown by physical examination, as parchment-like scales were covering the newborn's skin, which was starting to detach and showing the "collodion baby" appearance. Ophthalmologic examination revealed a bilateral ectropion of the upper eyelids with tarsal eversion. A treatment of Tobramycin 0.3% eye ointment was prescribed four times a day, with a viscotears liquid gel eye drops 4 times a day, and vaseline petroleum jelly to be applied three times daily. At 2-month follow-up, a significant improvement was noted.

CONCLUSION

Ichthyosis have a wide range of disorders that involve the skin and have inherited and acquired forms. As a result, keratolytic and systemic retinoids can have significant benefits in restoring skin function.

摘要

未标注

火棉胶婴儿是一种罕见的先天性疾病,病情非常严重,婴儿会出现多种并发症,如经表皮水分流失。自1892年以来,文献中仅报道了约270例火棉胶婴儿病例。这种疾病后期可能发展为一系列疾病中的一种,包括板层状鱼鳞病,患者可能患有先天性板层状鱼鳞病伴睑外翻,出生时临床上以火棉胶婴儿表型为特征。

病例报告

作者报告了叙利亚的首例病例,一名20日龄的叙利亚白人男婴,孕38周顺产,情况正常,体格检查显示为先天性板层状鱼鳞病,新生儿皮肤覆盖着如羊皮纸般的鳞屑,鳞屑开始脱落,呈现出“火棉胶婴儿”的外观。眼科检查发现双侧上睑睑外翻伴睑板翻转。开具了0.3%妥布霉素眼膏,每天4次,玻璃酸钠滴眼液每天4次,凡士林每天涂抹3次。在2个月的随访中,情况有显著改善。

结论

鱼鳞病有多种涉及皮肤的疾病,有遗传和后天获得的形式。因此,角质溶解剂和全身性维甲酸在恢复皮肤功能方面可能有显著益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/20fe/10205355/1798591af8b2/ms9-85-1902-g001.jpg

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