Plastic baby: A rare presentation

Authors

  • Neerja Puri Department of Dermatology, GGS Medical College, Faridkot, India
  • Preeti Gautam Department of Dermatology, GGS Medical College, Faridkot, India
  • Sumir Kumar Department of Dermatology, GGS Medical College, Faridkot, India

Keywords:

Collodion, Plastic, Epidermal, Developmental

Abstract

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

Judge MR. Textbook of Pediatric Dermatology. Second edition. Malden: Blackwell Publishing; 2006. Collodion baby and Harlequin ichthyosis. Harper J, Oranje A, Prose N; pp. 118–125.

Roberts JB, Adelson D. Case report: prolonged collodion membrane causing constrictive bands of the digits and treatment. Dermatol Online J. 2010;16(1):15.

Dyer JA, Sparker M, William M. Care of newborn with ichthyosis. Dermatol Ther. 2013;26(1):1–15.

Shwayder T, Akland T. Neonatal skin barrier: structure, function, and disorders. Dermatol Therapy. 2005;18(2):87-103.

Van Gysel D, Lijnen RL, Moekti SS, De Laat PC, Oranje AP. Collodion baby: a follow‐up study of 17 cases. J Eur Acad Dermatol Venereol. 2002;16(5):472-5.

Published

2024-10-11

How to Cite

1.
Puri N, Gautam P, Kumar S. Plastic baby: A rare presentation. J Pak Assoc Dermatol [Internet]. 2024Oct.11 [cited 2024Nov.11];34(4):1080-2. Available from: https://jpad.com.pk/index.php/jpad/article/view/2767

Issue

Section

Case Reports

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