Plastic baby: A rare presentation
Keywords:
Collodion, Plastic, Epidermal, DevelopmentalAbstract
Collodion baby is a rare epidermal developmental malformation characterised by parchment like taut membrane. The term Collodion (Greek-glutinous meaning glue, sticky) was coined by Hallopeau and Watelet in 1892. A term male baby delivered by LSCS to primigravida had shiny parchment like membrane that got hard like plastic, cracking at the site of body folds and forming raw red areas. The child was born out of non consanguineous marriage. The vitals at birth were normal. On cutaneous examination, the whole body was covered with thick parchment like membrane, with multiple fissures and erosions on chest, axilla, groin, popliteal and ankle flexures with associated and eclabium. The baby was managed in NICU with adequate humidification and temperature in an incubator and adequate fluid and electrolyte replacement along with topical bland emollients. Collodion baby is a rare disorder of cornification. 75% patients develop AR congenital ichthyosis. Management requires a multidisciplinary approach with a dermatologist, neonatologist, ophthalmologist and ENT specialist. In the present case report it is emphasized that the early survival of these neonates can be improved with basic skin care, nutrition and reassuring parents that the baby can be saved.References
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