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What is the absence of skin layer?

Published in Skin Conditions 2 mins read

The absence of a skin layer is referred to as aplasia cutis congenita (ACC), a rare congenital condition.

Understanding Aplasia Cutis Congenita (ACC)

Aplasia cutis congenita (ACC) is a condition where one or more layers of skin are missing at birth. This can be:

  • Focal: Affecting a small, specific area.
  • Extensive: Affecting larger areas of the body.

Layers Affected

ACC may involve the absence of:

  • Epidermis: The outermost layer of skin.
  • Dermis: The layer beneath the epidermis.
  • Subcutaneous tissue: The deepest layer, made of fat and connective tissue.

Causes of ACC

While the exact cause of ACC is unclear, it's generally understood to stem from:

  • Impaired prenatal skin development: Issues during fetal development that prevent the complete formation of skin layers.

Key Characteristics of ACC

  • Congenital: Present at birth.
  • Rare: Uncommon in the general population.
  • Variable Severity: Can range from small lesions to larger areas of missing skin.

Clinical Implications

The severity of ACC varies, and the missing layers can leave the affected individual at risk of:

  • Infection: Due to lack of protective skin layers.
  • Fluid loss: Potentially leading to dehydration.
  • Scarring: After the area heals.

Summary Table: Aplasia Cutis Congenita

Feature Description
Condition Aplasia Cutis Congenita (ACC)
Definition Absence of one or more skin layers at birth.
Layers Affected Epidermis, dermis, and occasionally subcutaneous tissue.
Cause Impaired prenatal skin development.
Presentation Focal or extensive absence of skin.
Clinical Risks Increased risk of infection, fluid loss, and scarring.

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