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Lamellar Exfoliation of the Newborn, or Ichthyosis Congenita

Lamellar Exfoliation of the Newborn, or Ichthyosis Congenita Abstract A baby who was born with a collodion-like membrane over the entire body has recently been under our observation. We used the term "lamellar exfoliation of the newborn" introduced by Grass and Török1 but observed the baby for two years before establishing a final diagnosis. The actual significance of this term is not clear, nor is its use universally accepted. Shelmire Jr.2 recently reviewed the literature and found 15 cases of this entity. He proposed preservation of the term lamellar exfoliation of the newborn as descriptive of a distinct entity and suggested that the frequent association of this defect with ichthyosis is but another example of multiple congenital ectodermal defects. He noted, however, that even in the mildest cases there was usually residual dryness and desquamation of the skin. In reviewing the literature on this subject,3-5 we found only one instance in which the skin was described References 1. Grass, J., and Török, L.: Un Cas d'exfoliation lamelleuse des nouveau-nés (ichthyosis sebacea de Hebra) , Ann. dermat. et syph. 6:104, 1895. 2. Shelmire, J. B., Jr.: Lamellar Exfoliation of the Newborn , A. M. A. Arch. Dermat. 71:471 ( (April) ) 1955.Crossref 3. Clark, T. J.: Ichthyosis (Embryonic Epitrichial Layer Persistent at Birth), Transactions San Francisco and Los Angeles Dermatological Societies, Feb. 17, 1940 , Arch. Dermat. & Syph. 43:410 ( (Feb.) ) 1941. 4. Kozikowski, E. S.: Congenital Ichthyosis (Persistent Epitrichial Layer), Transactions Cleveland Dermatological Society, Sept. 27, 1956 , A. M. A. Arch. Dermat. 75:891 ( (June) ) 1957. 5. Lascheid, W. P.; Potts, L. W., and Clendenning, W. E.: Congenital Ichthyosiform Erythroderma, Transactions Cleveland Dermatological Society, Sept. 26, 1957 , A. M. A. Arch. Dermat. 77:612 ( (May) ) 1958. 6. Finlay, H. V. L., and Bound, J. P.: Collodion Skin in the Neonate Due to Lamellar Ichthyosis , Arch. Dis. Childhood 27:438 ( (Oct.) ) 1952. 7. Falk, A. B.; Traisman, H. S., and Ahern, G. J.: Ichthyosis Congenita , A. M. A. Am. J. Dis. Child. 93:259 ( (March) ) 1957. 8. Lapiére, S.: L'érythrodermie ichtyosiforme congénitale bulleuse létale , Ann. dermat. et syph. 84:5 ( (Jan.) -Feb.) 1957. 9. Cockayne, E. A.: Inherited Abnormalities of the Skin and Its Appendages , London, Oxford University Press, 1933. 10. Ormsby, O. S., and Montgomery, H.: Diseases of the Skin , Ed. 8, Philadelphia, Lea & Febiger, 1954. 11. Williamson, G. R.: Congenital Ichthyosis , J. Pediat. 5:484 ( (Oct.) ) 1934. 12. Orfuss, A. J.: Ichthyosis Treated with 10% Sodium Chloride Ointment, Transactions Bronx Dermatological Society, Jan. 16, 1958 , A. M. A. Arch. Dermat. 78:664 ( (Nov.) ) 1958. 13. Lodin, A.; Gentele, H., and Lagerholm, B.: Vitamin B12 in the Treatment of Congenital Ichthyosiform Erythroderma , Acta dermat-venereol. 38:51, 1958. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Journal of Diseases of Children American Medical Association

Lamellar Exfoliation of the Newborn, or Ichthyosis Congenita

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References (14)

Publisher
American Medical Association
Copyright
Copyright © 1959 American Medical Association. All Rights Reserved.
ISSN
0096-6916
DOI
10.1001/archpedi.1959.02070020251011
Publisher site
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Abstract

Abstract A baby who was born with a collodion-like membrane over the entire body has recently been under our observation. We used the term "lamellar exfoliation of the newborn" introduced by Grass and Török1 but observed the baby for two years before establishing a final diagnosis. The actual significance of this term is not clear, nor is its use universally accepted. Shelmire Jr.2 recently reviewed the literature and found 15 cases of this entity. He proposed preservation of the term lamellar exfoliation of the newborn as descriptive of a distinct entity and suggested that the frequent association of this defect with ichthyosis is but another example of multiple congenital ectodermal defects. He noted, however, that even in the mildest cases there was usually residual dryness and desquamation of the skin. In reviewing the literature on this subject,3-5 we found only one instance in which the skin was described References 1. Grass, J., and Török, L.: Un Cas d'exfoliation lamelleuse des nouveau-nés (ichthyosis sebacea de Hebra) , Ann. dermat. et syph. 6:104, 1895. 2. Shelmire, J. B., Jr.: Lamellar Exfoliation of the Newborn , A. M. A. Arch. Dermat. 71:471 ( (April) ) 1955.Crossref 3. Clark, T. J.: Ichthyosis (Embryonic Epitrichial Layer Persistent at Birth), Transactions San Francisco and Los Angeles Dermatological Societies, Feb. 17, 1940 , Arch. Dermat. & Syph. 43:410 ( (Feb.) ) 1941. 4. Kozikowski, E. S.: Congenital Ichthyosis (Persistent Epitrichial Layer), Transactions Cleveland Dermatological Society, Sept. 27, 1956 , A. M. A. Arch. Dermat. 75:891 ( (June) ) 1957. 5. Lascheid, W. P.; Potts, L. W., and Clendenning, W. E.: Congenital Ichthyosiform Erythroderma, Transactions Cleveland Dermatological Society, Sept. 26, 1957 , A. M. A. Arch. Dermat. 77:612 ( (May) ) 1958. 6. Finlay, H. V. L., and Bound, J. P.: Collodion Skin in the Neonate Due to Lamellar Ichthyosis , Arch. Dis. Childhood 27:438 ( (Oct.) ) 1952. 7. Falk, A. B.; Traisman, H. S., and Ahern, G. J.: Ichthyosis Congenita , A. M. A. Am. J. Dis. Child. 93:259 ( (March) ) 1957. 8. Lapiére, S.: L'érythrodermie ichtyosiforme congénitale bulleuse létale , Ann. dermat. et syph. 84:5 ( (Jan.) -Feb.) 1957. 9. Cockayne, E. A.: Inherited Abnormalities of the Skin and Its Appendages , London, Oxford University Press, 1933. 10. Ormsby, O. S., and Montgomery, H.: Diseases of the Skin , Ed. 8, Philadelphia, Lea & Febiger, 1954. 11. Williamson, G. R.: Congenital Ichthyosis , J. Pediat. 5:484 ( (Oct.) ) 1934. 12. Orfuss, A. J.: Ichthyosis Treated with 10% Sodium Chloride Ointment, Transactions Bronx Dermatological Society, Jan. 16, 1958 , A. M. A. Arch. Dermat. 78:664 ( (Nov.) ) 1958. 13. Lodin, A.; Gentele, H., and Lagerholm, B.: Vitamin B12 in the Treatment of Congenital Ichthyosiform Erythroderma , Acta dermat-venereol. 38:51, 1958.

Journal

A.M.A. Journal of Diseases of Children – American Medical Association

Published: Aug 1, 1959

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