【**New Flower City Guangzhou】
When the baby was born, the whole body was a parchment-like film, as if it was wrapped in thick vernix fat, and it was wrinkled, and it looked like an elderly ......This baby is suffering from the rare disease of "collodion baby".
Recently, the neonatal department of He Xian Memorial Hospital (District Maternal and Child Health Hospital) in Panyu District, Guangzhou City admitted a "collodion baby", the baby's gestational age is 36 weeks + 1 day, and the birth weight is 26 kg.
After 15 days of treatment, the child's old ** had fallen off, new tender skin had grown, and there were no related complications, and he was successfully discharged home. On the day of discharge, the parents of the child also presented a pennant to the medical staff of Ho Yin Memorial Hospital, praising the superb medical skills of the medical staff and thanking the medical staff for their patient and meticulous care.
After 15 days of treatment, he was discharged from the hospital.
According to the doctor, collodion babies are also known as neonatal ichthyosis and congenital ichthyosis, which is a rare autosomal recessive ** desquamation disease in the neonatal period, with an incidence of about 1 300000, which is not common in clinical practice, often accompanied by preterm birth and low body weight. The main clinical manifestations are that the whole body can be seen at birth covered with a layer of parchment or gelatinous film, the membrane is inelastic, and the bright beam is spread throughout the body, the body position is limited, and the eyelids are turned outward.
The doctor said that the film covered within 24 hours after birth began to crack or fall off, starting from the cracked part, involving the whole body within 15-30 days, the skull and extremities were the latest desquamation, and then the parchment** hardened, broken or fell off, revealing a light red tender skin. In most cases, after a few days, the tender skin becomes keratinized and becomes collodion-like, so that it hardens or desquamies repeatedly, and does not heal, and a few cases no longer keratinize after several times of tender skin. In severe cases, the ears and nose are tightened and flattened, and the lips and eyelashes are turned outward.
After admitting the collodion baby, the neonatology department of the hospital immediately started the MDT consultation, and invited ** department, ophthalmology, wound stoma care specialist group, and neonatal specialist ** consultation. After 15 days of careful care, the child's vital signs are stable, the old ** has fallen off, new tender skin has grown, there are no related complications, self-feeding milk 65 ml, weight 28 kg, successfully discharged.
Take multiple measures to take care of the child.
The doctor said that the evaporation of the collodion baby is more than normal, and sometimes even dehydration, and the tender skin can also be secondary to infection, and the skin lesions involve the whole body, so the care and infection prevention are a major problem.
For this reason, after the child is admitted to the hospital, the hospital immediately places it in an advanced incubator, keeps the humidity above 85%, inserts the umbilical vein, strictly protects the isolation, and moisturizes the child's homemade ** and body mask, every 15-2 hours to apply moist burn ointment, medical petroleum jelly and other bundle measures. Three days after discharge, the child went to the neonatal care clinic for follow-up and was in good condition.
Moisturizing is the focus of post-discharge care.
According to the doctor, there is no special effect for collodion babies at present**, and it is based on the principle of gentle moisturizing and mild peeling. The main principles are to promote healing, prevent infection, and nutrition. The purpose of applying various external drugs is to improve the dry state of **, and various ** moisturizing creams, moist burn creams, etc. can be used. Severe collodion-like fetuses often die stillbirth or die soon after birth. Some children achieve complete remission, and the prognosis is good without serious complications.
The doctor reminded that the focus of post-discharge care for collodion babies is to moisturize and avoid secondary damage and infection when they peel off. Parents should apply moisturizing moisturizer to the baby every day, closely observe the changes in the baby's condition, and if you find keratosis epidermis, do not remove it with your hands to make it fall off naturally. If the child is found to have high fever, vomiting, apnea, convulsions and poor mental response during the home process, he or she should seek medical attention in time.
Can collodion babies be prevented?
The doctor said that routine prenatal check-ups could not detect collodion babies, but they could be detected by genetic testing. If there is a history of relevant high-risk pregnancy and childbirth, such as a family genetic history or a mother who has a history of giving birth to a collodion baby, when getting pregnant again, you must pay attention to the pre-pregnancy physical examination to check whether both husband and wife are gene carriers. If the couple is a recessive gene carrier, it is also necessary to go to the hospital for amniocentesis and fetal genetic testing at 18-24 weeks of pregnancy.
Text, picture Guangzhou** New Flower City Reporter: Xiao Guilai Correspondent Chen Xiao He Huanrong.
Guangzhou ** New Flower City Editor: Shi Xiufu.
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