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Srivastava U, Singh KA, Sahu A, Dalai R. Unveiling collodion baby: confronting ectropion and respiratory drama in neonatal care. BMJ Case Rep 2024; 17:e261687. [PMID: 39159983 DOI: 10.1136/bcr-2024-261687] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/21/2024] Open
Abstract
A neonate presented to us with respiratory distress with diffuse involvement of skin with thickening, cracking and peeling since birth with severe ectropion and eclabium. The hospital course was complicated by polymicrobial sepsis requiring prolonged antibiotics and antifungals. The skin lesions were treated with acitretin, humidification and topical emollients. With the improvement of pneumonia and clearing of nasal debris, the neonate could be gradually weaned off respiratory support. Despite a stormy course, there was marked improvement in all skin lesions including ectropion and eclabium at discharge. This case highlights and discusses the challenges in diagnosis and underscores the need for multidisciplinary involvement of neonatology, dermatology and ophthalmology for a neonate with collodion baby syndrome.
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Affiliation(s)
- Utkarsh Srivastava
- Department of Pediatrics, All India Institute of Medical Sciences Patna, Patna, Bihar, India
| | - Kshitij Aviraj Singh
- Department of Neonatology, All India Institute of Medical Sciences - Patna, Patna, Bihar, India
| | - Animesh Sahu
- Department of Neonatology, All India Institute of Medical Sciences - Patna, Patna, Bihar, India
| | - Richie Dalai
- Department of Neonatology, All India Institute of Medical Sciences - Patna, Patna, Bihar, India
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Park L, Reyes-Hadsall S, Dhillon R, Frauenfelder A, Graneiro A, Fayiga FF, Lange C, Duarte AM. Concerning Newborn Rashes and Developmental Abnormalities: Part II: Congenital Infections, Ichthyosis, Neurocutaneous Disorders, Vascular Malformations, and Midline Lesions. Pediatr Rev 2023; 44:447-465. [PMID: 37525307 DOI: 10.1542/pir.2022-005640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/02/2023]
Affiliation(s)
- Lily Park
- Department of Dermatology, Larkin Community Hospital, South Miami, FL
- Nova Southwestern University, Fort Lauderdale, FL
| | - Sophia Reyes-Hadsall
- University of Miami Miller School of Medicine, Miami, FL
- Division of Dermatology, Department of Pediatrics, Nicklaus Children's Hospital, Miami, FL
| | - Rummit Dhillon
- Department of Dermatology, Larkin Community Hospital, South Miami, FL
- Nova Southwestern University, Fort Lauderdale, FL
| | | | - Ana Graneiro
- Department of Allergy and Immunology, Nicklaus Children's Hospital, Miami, FL
| | - Folasade F Fayiga
- University of Miami Miller School of Medicine, Miami, FL
- Wright State University Boonshoft School of Medicine, Fairborn, OH
- Children's Skin Center, Miami, FL
| | - Carlos Lange
- Children's Skin Center, Miami, FL
- Florida International University, Miami, FL
| | - Ana M Duarte
- University of Miami Miller School of Medicine, Miami, FL
- Division of Dermatology, Department of Pediatrics, Nicklaus Children's Hospital, Miami, FL
- Department of Pediatrics, Nicklaus Children's Hospital, Miami, FL
- Children's Skin Center, Miami, FL
- Florida International University, Miami, FL
- Nova Southwestern University, Fort Lauderdale, FL
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Anker P, Kiss N, Kocsis I, Czemmel É, Becker K, Zakariás S, Plázár D, Farkas K, Mayer B, Nagy N, Széll M, Ács N, Szalai Z, Medvecz M. Report of a Novel ALOX12B Mutation in Self-Improving Collodion Ichthyosis with an Overview of the Genetic Background of the Collodion Baby Phenotype. Life (Basel) 2021; 11:life11070624. [PMID: 34199106 PMCID: PMC8304297 DOI: 10.3390/life11070624] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/10/2021] [Revised: 06/22/2021] [Accepted: 06/24/2021] [Indexed: 11/18/2022] Open
Abstract
Collodion baby is a congenital, transient phenotype encountered in approximately 70–90% of autosomal recessive congenital ichthyosis and is an important entity of neonatal erythroderma. The clinical outcome after this severe condition is variable. Genetic mutations of components of the epidermal lipoxygenase pathway have been implicated in the majority of self-improving collodion ichthyosis (SICI). In SICI, the shedding of the collodion membrane reveals clear skin or only mild residual manifestation of ichthyosis. Here we report the case of a girl born with a severe form of collodion baby phenotype, whose skin almost completely cleared within the first month of life. At the age of 3 years, only mild symptoms of a keratinization disorder remained. However, the severity of erythema and scaling showed mild fluctuations over time. To objectively evaluate the skin changes of the patient, we assessed the ichthyosis severity index. Upon sequencing of the ALOX12B gene, we identified a previously unreported heterozygous nonsense mutation, c.1607G>A (p.Trp536Ter) with the recurrent, heterozygous mutation c.1562A>G (p.Tyr521Cys). Thereby, our findings expand the genotypic spectrum of SICI. In addition, we summarize the spectrum of further genetic diseases that can present at birth as collodion baby, in particular the SICI.
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Affiliation(s)
- Pálma Anker
- Department of Dermatology, Venereology and Dermatooncology, Semmelweis University, 1085 Budapest, Hungary; (P.A.); (N.K.); (K.B.); (S.Z.); (D.P.); (K.F.); (B.M.)
| | - Norbert Kiss
- Department of Dermatology, Venereology and Dermatooncology, Semmelweis University, 1085 Budapest, Hungary; (P.A.); (N.K.); (K.B.); (S.Z.); (D.P.); (K.F.); (B.M.)
| | - István Kocsis
- Department of Obstetrics and Gynaecology, Semmelweis University, 1082 Budapest, Hungary; (I.K.); (É.C.); (N.Á.)
| | - Éva Czemmel
- Department of Obstetrics and Gynaecology, Semmelweis University, 1082 Budapest, Hungary; (I.K.); (É.C.); (N.Á.)
| | - Krisztina Becker
- Department of Dermatology, Venereology and Dermatooncology, Semmelweis University, 1085 Budapest, Hungary; (P.A.); (N.K.); (K.B.); (S.Z.); (D.P.); (K.F.); (B.M.)
| | - Sára Zakariás
- Department of Dermatology, Venereology and Dermatooncology, Semmelweis University, 1085 Budapest, Hungary; (P.A.); (N.K.); (K.B.); (S.Z.); (D.P.); (K.F.); (B.M.)
| | - Dóra Plázár
- Department of Dermatology, Venereology and Dermatooncology, Semmelweis University, 1085 Budapest, Hungary; (P.A.); (N.K.); (K.B.); (S.Z.); (D.P.); (K.F.); (B.M.)
| | - Klára Farkas
- Department of Dermatology, Venereology and Dermatooncology, Semmelweis University, 1085 Budapest, Hungary; (P.A.); (N.K.); (K.B.); (S.Z.); (D.P.); (K.F.); (B.M.)
| | - Balázs Mayer
- Department of Dermatology, Venereology and Dermatooncology, Semmelweis University, 1085 Budapest, Hungary; (P.A.); (N.K.); (K.B.); (S.Z.); (D.P.); (K.F.); (B.M.)
| | - Nikoletta Nagy
- MTA-SZTE Dermatological Research Group, 6720 Szeged, Hungary; (N.N.); (M.S.)
- Department of Medical Genetics, University of Szeged, 6720 Szeged, Hungary
| | - Márta Széll
- MTA-SZTE Dermatological Research Group, 6720 Szeged, Hungary; (N.N.); (M.S.)
- Department of Medical Genetics, University of Szeged, 6720 Szeged, Hungary
| | - Nándor Ács
- Department of Obstetrics and Gynaecology, Semmelweis University, 1082 Budapest, Hungary; (I.K.); (É.C.); (N.Á.)
| | - Zsuzsanna Szalai
- Department of Dermatology, Heim Pál National Children’s Institute, 1089 Budapest, Hungary;
| | - Márta Medvecz
- Department of Dermatology, Venereology and Dermatooncology, Semmelweis University, 1085 Budapest, Hungary; (P.A.); (N.K.); (K.B.); (S.Z.); (D.P.); (K.F.); (B.M.)
- Correspondence:
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