Aplasia Cutis Congenita Associated With Aplasia of the Superficial Temporal Artery

Choi, Matthew; Choi, Jong Hwan; Ki, Sae Hwi; Jun, Yong Hoon

doi:10.1097/scs.0000000000002678

Cited by 10 publications

(8 citation statements)

References 14 publications

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“…The prevalence of the STA was not specified in the mentioned included study articles; however, no specific data were provided on its absence in any of the cases. Taking this into account, it can be said that the STA is present bilaterally in nearly 100% of cases, and the absence of the artery (aplasia) is an extremely rare congenital condition, mainly accompanied by scalp lesions (Choi, Choi, Ki, & Jun, 2016).…”

Section: Meta-analysismentioning

confidence: 99%

The superficial temporal artery: A meta‐analysis of its prevalence and morphology

et al. 2020

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Introduction: The superficial temporal artery (STA) is a terminal branch of the external carotid artery. It supplies the regions of scalp and face. The morphometrical data concerning STAs are not consistent; therefore, in this systemic review and meta-analysis, we aimed in this to provide an up-to-date data on its anatomic features. Material and methods: In order to do this, PubMed, Embase, ScienceDirect, and Web of Science were searched. We followed the Preferred Reporting Items and Review and Meta-Analyses guidelines for the meta-analysis. Studies that reported the prevalence and anatomical data regarding STA were included in further analyses. Results: Out of 1,446 studies initially evaluated, 21 were included in the metaanalysis (874 patients/donors). The STA diameter was 1.5 mm (95% confidence interval [CI]: 1.47-1.53 mm). The frontal and parietal branches of the STA were present in 97.6% (95% CIs: 94.6-99.5%) and 96.4% (95% CIs: 93.5-98.5%) of the cases, respectively. The STA bifurcation point was located above the zygomatic arch in 79.1% (95% CI: 68.0-84.3), below the zygomatic arch in 6.7% (95% CI: 2.4-12.1), and on the zygomatic arch in 11.1% of the cases (95% CI: 5.4-17.5). There was no bifurcation of the STA in 3.1% of the cases (95% CI: 0.4-7.3). Conclusion: The most comprehensive analysis of STA morphological features is presented. The results from this evidence-based anatomical study will improve understanding of the clinical STA anatomy, which in turn has major implications for understanding the STA in clinical practice.

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Section: Meta-analysismentioning

confidence: 99%

The superficial temporal artery: A meta‐analysis of its prevalence and morphology

et al. 2020

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“…To differentiate ACC from these diagnoses, we need further clinical data on ACC, including demographics, family and obstetric histories, and clinical features such as multiplicity, size, shape, hair collar sign, location, radiologic and therapeutic results. However, most available reports on ACC are case reports or series, and original clinical studies are rarely reported. To address this gap in the literature, we performed the current study to present the clinical data of ACC in Korea.…”

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confidence: 99%

Aplasia cutis congenita in Korea: Single center experience and literature review

Yang

Kim

et al. 2020

Pediatrics International

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Background Aplasia cutis congenita (ACC) is a rare congenital malformation characterized by a localized absence of skin. which most commonly affects the scalp. We performed the present study to elucidate the basic clinical data regarding ACC in Korea, including demographics, clinical features, radiological and therapeutic results. Methods Fifty‐nine patients (70 lesions) with ACC (35 from our department and 24 from a Koreamed database search) were enrolled. We assessed demographics, family and obstetrical histories, clinical features (multiplicity, subtype, size, shape, hair collar sign, location, and Frieden's classification), and radiologic and therapeutic results. Results The mean age of patients was 2.62 years, with a male‐to‐female ratio of 1.03. A minority of patients had a family history (three patients), birth trauma (one patient), maternal drug use (two patients), or human immunodeficiency virus infection (one patient) during pregnancy, and fetus papyraceus of placental infarcts (two patients). Six patients (6/59, 10.17%) had multiple lesions. Scarring was the most common manifestation (39/70, 55.71%). The scalp was the most commonly affected site (50 cases, 71.43%). Thirty‐nine patients (66.10%) met Frieden's type I classification (scalp ACC without multiple anomalies). Radiological investigations were performed in 30 patients (30/59, 50.85%) with abnormal findings in eight patients. Twenty‐five patients (42.37%) were managed conservatively, and 17 patients (28.81%) were treated with local wound care. Conclusions This is the first and largest study assessing the basic clinical data of ACC in Korea. The results of the present study could be useful for pediatricians and dermatologists who routinely manage ACC.

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“… Chromosomal abnormalities,[ 8 31 ] especially BMS1[ 29 ]; a recent study has also implicated the UBA2 gene and the SUMOylation pathway[ 27 ] Trauma[ 28 53 ] Amniotic irregularities[ 7 ] Intrauterine complications, such as vascular accidents or infection[ 7 9 13 46 50 ] Thrombosis, vascular lesions[ 7 9 15 ] Teratogens: such as misoprostol, benzodiazepines, valproic acid cocaine, methotrexate, ACE inhibitors, methimasol. [ 18 35 39 40 44 50 ] …”

Section: Introductionmentioning

confidence: 99%

Aplasia cutis congenita: Two case reports and discussion of the literature

Blionas¹,

Giakoumettis²,

Antoniades³

et al. 2017

Surg Neurol Int

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Background:Aplasia cutis congenita (ACC) is a part of a heterogeneous group of conditions characterized by the congenital absence of epidermis, dermis, and in some cases, subcutaneous tissues or bone usually involving the scalp vertex. There is an estimated incidence of 3 in 10,000 births resulting in a total number of 500 reported cases to date. The lesions may occur on every body surface although localized scalp lesions form the most frequent pattern (70%). Complete aplasia involving bone defects occurs in approximately 20% of cases. ACC can occur as an isolated defect or can be associated with a number of other congenital anomalies such as limb anomalies or embryologic malformations. In patients with large scalp and skull defects, there is increased risk of infection and bleeding along with increased mortality and therefore prompt and effective management is advised.Case Description:We describe two cases of ACC, involving a 4 × 3 cm defect managed conservatively and a larger 10 × 5 cm defect managed surgically with the use of a temporo-occipital scalp flap. Both cases had an excellent outcome.Conclusions:Multiple treatment regimens exist for ACC, but there is no consensus on treatment strategies. Conservative treatment has been described and advocated, but many authors have emphasized the disadvantages of this treatment modality. Decision between conservative and surgical management must be individualized according to lesion size and location.

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Aplasia Cutis Congenita Associated With Aplasia of the Superficial Temporal Artery

Cited by 10 publications

References 14 publications

The superficial temporal artery: A meta‐analysis of its prevalence and morphology

The superficial temporal artery: A meta‐analysis of its prevalence and morphology

Aplasia cutis congenita in Korea: Single center experience and literature review

Aplasia cutis congenita: Two case reports and discussion of the literature

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