๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
COLLODION BABY
COLLODION BABYย ย ICD-10: Q80.2
โข Encasement of the entire baby in a transparent parchment-like membrane (Fig. 4-12A), which impairs respiration and sucking.
โข Breaking and shedding of the collodion membrane initially leads to difficulties in thermoregulation and increased risk of infection.
โข Skin is bright red and moist (Fig. 4-12A). After healing, skin appears normal for some time until signs of ichthyosis develop.
โข Collodion baby may be the initial presentation of lamellar ichthyosis or another, less common form of ichthyosis not discussed here.
โข Collodion baby also may be a condition that, after the collodion membrane is shed and the resultant erythema has cleared, will progress to normal skin for the rest of the childโs life (Fig. 4-12B).
โข Management: Keep the newborn in the incubator and monitor temperature, fluids, and nutrient replacement. Aggressive antibiotic therapy for skin and lung infection.
A
B
FIGURE 4-12 โข Ichthyosis in the newbornโ(A) โCollodion babyโ shortly after birth with a parchment-like membrane covering the entire body. In some areas, the membrane has ruptured and is being shed leaving oozing, raw-looking skin. (B) At 8 months of age, the same infant is a beautiful baby with minimal residual scale and erythema.