Infant Journal
for neonatal and paediatric healthcare professionals

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aplasia cutis congenita; skin disorder; congenital; placental infarct; fetus papyraceus
Key points
  1. Extensive ACC lesions on the trunk and limbs are rare.
  2. ACC can be associated with placental infarcts or the in utero death of a twin fetus, as in the case presented here.
  3. Obstetric history should review maternal medications/infections during pregnancy, determine an initial multiple pregnancy with death of a co-twin and investigate any placental anomalies.
  4. Despite their large size, truncal and limb ACC lesions usually resolve within the first few months of life.

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