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What Causes Congenital Absence Of Skin On The Leg Of An Infant?
Question: new born male child born in XXXXXXX XXXXXXX on 13/12/2016 is having strange skin formation on one leg. need help in diagnosis and treatment. specially need to understand any risk to the child and what is the best speciality to treat this condition
Brief Answer:
Seems to be congenital absence of skin
Detailed Answer:
Hi
Thanks for being at healthcaremagic
I have reviewed the attached photographs and the child is most probably suffering from congenital absence of skin.
It can occur as a single anomaly or as a sign of any underlying defect like absence or hypoplasty of distal phalanges, congenital heart disease or epidermolysis bullosa.
This child needs a cardiac, neurological and orthopaedic and skin examination to rule out any underlying defects.
The treatment for this should be skin grafting by a plastic surgeon.
This child requires a multi modality approach to have a complete work up done.
Regards
Dr Asmeet
Seems to be congenital absence of skin
Detailed Answer:
Hi
Thanks for being at healthcaremagic
I have reviewed the attached photographs and the child is most probably suffering from congenital absence of skin.
It can occur as a single anomaly or as a sign of any underlying defect like absence or hypoplasty of distal phalanges, congenital heart disease or epidermolysis bullosa.
This child needs a cardiac, neurological and orthopaedic and skin examination to rule out any underlying defects.
The treatment for this should be skin grafting by a plastic surgeon.
This child requires a multi modality approach to have a complete work up done.
Regards
Dr Asmeet
Above answer was peer-reviewed by :
Dr. Remy Koshy
thanks, child is present at a centre where all this investigation can't be done. with mother still recovering from c section, can we wait couple of months before taking both mother and child to bigger city having all facilities. what's the risk involved? local dermatologist and pedriatician are treating him by using local and oral antibiotics to treat the leg condition
Brief Answer:
Can wait for some time if child is healthy otherwise
Detailed Answer:
If the child is taking regular feeds and is not showing any other symptoms like fever and excessive crying you can wait for some time before getting him evaluated.
There won't be much risks involved if he is healthy and responding normally.
Antibiotics can be used to prevent secondary infection.
Can wait for some time if child is healthy otherwise
Detailed Answer:
If the child is taking regular feeds and is not showing any other symptoms like fever and excessive crying you can wait for some time before getting him evaluated.
There won't be much risks involved if he is healthy and responding normally.
Antibiotics can be used to prevent secondary infection.
Above answer was peer-reviewed by :
Dr. Yogesh D
pls refer to attached prescriptions, seems this condition is infected with couple of pus points. can you pls share your opinion
Brief Answer:
Child needs to be evaluated at a higher centre
Detailed Answer:
One of the doctor has diagnosed it to be TEN or SSSS. Both these conditions appear less likely as it involves the whole body and mucosa and not just one leg.
Both these are commonly associated with drug intake which is not the case in this new born child.
The other doctor has advised regarding dressing with antibiotic fusidic acid which needs to be done.
Both have referred the child to higher centres for evaluation which needs to be done.
Child needs to be evaluated at a higher centre
Detailed Answer:
One of the doctor has diagnosed it to be TEN or SSSS. Both these conditions appear less likely as it involves the whole body and mucosa and not just one leg.
Both these are commonly associated with drug intake which is not the case in this new born child.
The other doctor has advised regarding dressing with antibiotic fusidic acid which needs to be done.
Both have referred the child to higher centres for evaluation which needs to be done.
Above answer was peer-reviewed by :
Dr. Prasad
went to Fortis hospital in XXXXXXX but they were not able to conclude on this. attaching latest photos after one round of IV antibiotics and dressing at hospital
Brief Answer:
Complete work up from different specialties required
Detailed Answer:
I have reviewed the attached photograph but it will take time to improve.
He needs complete work up before coming to any conclusion & diagnosis.
Complete work up from different specialties required
Detailed Answer:
I have reviewed the attached photograph but it will take time to improve.
He needs complete work up before coming to any conclusion & diagnosis.
Note: Hope the answers resolves your concerns, however for further guidance of skin related queries consult our Dermatologist.Click here to book a consultation
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
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