A case of self-healing collodion baby

Abstract

Introduction. Autosomal recessive congenital ichthyosis is a heterogeneous group of congenital disorders characterised by abnormal keratinisation and exfoliation of the epidermis. Some patients with this condition are born encased in collodion membrane. Objective. The case of the autosomal recessive congenital ichthyosis subtype, a self-healing collodion baby, which is an uncommon phenotype of this disorder, accounting for approximately 10% of patients, is described. Case report. A 3-day-old newborn showed features of a collodion baby at birth. Physical examination revealed diffuse yellow-wax skin lesions of a scale-like character on the skin of the whole body with numerous cracks of the stratum corneum, upper and lower eyelids eversion, lip curl, deformation of the auricles, and subtle flattening of the nose. Skin changes gradually disappeared starting from the 5th day of life. Conclusions. This rare case of the autosomal recessive congenital ichthyosis subtype, despite a significant regression of skin lesions, requires constant observation and dermatological supervision. There is a high probability that symptoms of ichthyosis of variable intensity will remain permanently.