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Boletín Médico del Hospital Infantil de México

2010, Number 4

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Bol Med Hosp Infant Mex 2010; 67 (4)

Collodion baby

Estrada-López AG, García-Miranda GA, Meza-Zamora DM

Language: Spanish
References: 14
Page: 352-358
PDF size: 252.25 Kb.


ABSTRACT

Background. Ichtyosis is an infrequent clinical entity worldwide (1:300 000 births). When diagnosed in a newborn, we can identify two forms: collodion baby and its most severe form, harlequin fetus or maligna keratoma. In both cases, clinical manifestations are thick and hard skin with deep splits. The splits are more prominent in flexion areas. Moreover, we can observe ectropion in both eyes and deformities in the ears and nose, as well as inverted lips that resemble the mouth of a fish, among others signs.
Case report. We report a case of a collodion baby who was kept in strict isolation to avoid any infection. However, due to purulent ocular secretions due to coagulase-negative Staphylococcus aureus, antibiotic treatment was indicated. The evolution of the patient was favorable.
Conclusions. Mortality of the collodion baby has decreased as a result of multidisciplinary care and opportune diagnosis and management.


REFERENCES

  1. Cortina WJ, Cruz MJ, Villalobos OA, Espinoza MA. Ictiosis congénita (feto arlequín). Bol Med Hosp Infan Mex 1975;32:699-702.

  2. O’Connell JP. A collodion baby. Proc R Soc Med 1977;70:212-213.

  3. Rodríguez GR, Belman PR, Dander AH, Cruz MW. Ictiosis autosómica recesiva: informe de 4 casos del sur de Veracruz. Bol Med Hosp Infant Mex 2002;59:372-378.

  4. Van Gysel D, Lijnen RLP, Moekti SS, de Laat PCJ, Oranjet AP. Collodion baby: a follow-up study of 17 cases. J Eur Acad Derm Venereol 2003;16:472-475.

  5. Monteagudo GL, Aleman PN, Navarro RM. Ictiosis lamelar. Presentación de un paciente. Medicentro 2005;9:2-4.

  6. Conlon JD, Drolet BA. Skin lesion in the neonate. Pediatr Clin North Am 2004;51:863-888.

  7. Arenas R. Dermatología. Atlas, Diagnóstico y Tratamiento. México: Editorial McGraw-Hill, Interamericana; 1996. p. 225-230.

  8. Akiyama M. Pathomechanisms of harlequin icthyosis and ABCA transporters in human diseases. Arch Dermatol 2006;142:914-918.

  9. Zapalowicz K, Wygledowska G, Roszkowski T, Bednarowska A. Harlequin ichthyosis¾difficulties in prenatal diagnosis. J Appl Genet 2006;47:195-197.

  10. Ruiz MR, Tamayo L, Carnevale A, López A, Peña L. Ictiosis laminar, espasticidad y retraso mental (síndrome de Sjogren-Larson). Rev Invest Clin 1974;26:63-75.

  11. Corona-Rivera JR, Ramírez-Valdivia JM, Guillén-Gutiérrez TH, Velasco-Pérez R, Corona-Rivera A, Corona-Rivera E. Ictiosis vulgar congénita en un paciente con trisomía 18. Bol Med Hosp Infant Mex 1995;52:591-595.

  12. Akcakus M, Gunes T, Kurtoglu S, Ozturk A. Collodion baby associated with asymmetric crying facies: a case report. Pediatr Dermatol 2003;20:134-136.

  13. Taïeb A, Labrèze C. Collodion baby: what’s new. J Eur Acad Derm Venereol 2002;16:436-437.

  14. Sarici SU, Sahin M, Yurdakök M. Topical N-acetylcysteine treatment in neonatal ichthyosis. Turk J Pediatr 2003;45:245-247.




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