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火棉胶婴儿:一例罕见病例报告。

Collodion baby: A rare case report.

作者信息

Bouab Maryem, Wajih Oumaima, Assal Asmaa, Jalal Mohamed, Lamrissi Amine, Bouhya Said

机构信息

Department of gynecology and obstetrics, University hospital center Ibn Rochd, Casablanca, Morocco; Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

Department of gynecology and obstetrics, University hospital center Ibn Rochd, Casablanca, Morocco; Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Morocco.

出版信息

Int J Surg Case Rep. 2023 Nov;112:108930. doi: 10.1016/j.ijscr.2023.108930. Epub 2023 Oct 11.

DOI:10.1016/j.ijscr.2023.108930
PMID:37864964
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10667771/
Abstract

INTRODUCTION

Collodion baby "CB" is an extremely rare dermatological condition. Approximately 1 in 100,000 births are identified as infants with CB syndrome, including stillbirths (Dyer et al., 2013). A cornified substance replaces the newborn's skin, giving the body a varnished or parchment-like appearance.

CASE PRESENTATION

Patient aged 30 years, third gesture, third pare, admitted for premature delivery of 8 months. After labor management, she gave birth 2 h after admission to the maternity ward of a living newborn female weighing 2400 g. The initial physical examination revealed large, thick scales all over the body. Examination of the head and neck revealed an abnormal parchment-like membrane covering the head and sparse hairs. Excessive scaling around the mouth gives a typical fish-like appearance. No other obvious abnormalities were observed.

CLINICAL DISCUSSION

CB is an extremely rare dermatological condition. This is a disorder secondary to cornification. These children are generally born prematurely, and are not diagnosed until after birth. Due to the presence of a tight membrane, these babies develop numerous complications such as eclabium, ectropion, limited movement of the extremities and fingers. Treatment consists mainly of support, such as the use of intravenous fluids, incubators, tube feeding and emollients.

CONCLUSION

The collodion baby is a newborn characterized by an altered skin barrier, exposing him or her to numerous complications. Fortunately, the mortality rate has fallen thanks to improved neonatal care.

摘要

引言

火棉胶婴儿(CB)是一种极其罕见的皮肤病。每10万例出生中约有1例被确定为患有CB综合征的婴儿,包括死产(戴尔等人,2013年)。一种角质化物质替代了新生儿的皮肤,使身体呈现出上过清漆或羊皮纸般的外观。

病例介绍

患者30岁,第三胎,第三产程,因8个月早产入院。经过分娩处理,她在入院后2小时在产科病房产下一名体重2400克的存活女婴。初次体格检查发现全身有大片厚厚的鳞屑。头颈部检查发现有一层异常的羊皮纸样膜覆盖头部,毛发稀疏。口周过多的鳞屑呈现出典型的鱼样外观。未观察到其他明显异常。

临床讨论

CB是一种极其罕见的皮肤病。这是一种继发于角质化的疾病。这些儿童通常早产,出生后才被诊断出来。由于存在紧绷的膜,这些婴儿会出现许多并发症,如唇外翻、睑外翻、四肢和手指活动受限。治疗主要包括支持治疗,如使用静脉输液、保温箱、管饲和润肤剂。

结论

火棉胶婴儿是一种以皮肤屏障改变为特征的新生儿,使其面临许多并发症。幸运的是,由于新生儿护理的改善,死亡率有所下降。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0059/10667771/905d715e8420/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0059/10667771/6f167f2c15b6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0059/10667771/905d715e8420/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0059/10667771/6f167f2c15b6/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0059/10667771/905d715e8420/gr2.jpg

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