Management of aplasia cutis congenita in a non-scalp location

We report the conservative management of a newborn with extensive aplasia cutis congenita of the thighs, associated with a monochorionic co-twin foetus papyraceous. The skin defects on both thighs, measuring 340 cm(2), healed in 38 days. The child was treated under medical supervision on an outpatient basis, with regular dressing changes at home by a district nurse. During the healing period, no local or systemic complications were noted. At 1 year follow-up the scars were stable with an acceptable appearance. (C) 2002 The British Association of Plastic Surgeons.