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Disorders of keratinization and other genodermatoses
Published in Rashmi Sarkar, Anupam Das, Sumit Sethi, Concise Dermatology, 2021
The child is born encased in thick plates of skin with deep fissures, which form a geometric pattern. There is striking ectropion and eclabium and the ears are poorly developed. The condition is fatal and most die within a few days after birth, though very rare cases of survival with oral retinoid therapy have been reported.
Collodion baby and harlequin ichthyosis
Published in Biju Vasudevan, Rajesh Verma, Dermatological Emergencies, 2019
D. V. Lakshmi, Sahana M. Srinivas
Nutrition and feeding: Increased TEWL and skin turnover increase the caloric demands. Eclabium further interferes with sucking. If sucking reflex is sufficient, oral/breast feeding should be encouraged. If poor, nasogastric tube feeding may be needed. Parenteral alimentation and enteral feed may be needed for proper calorie intake.
Complications in Mohs Surgery
Published in Alexander Berlin, Mohs and Cutaneous Surgery, 2014
Jordan B. Slutsky, Scott W. Fosko
Eclabium is eversion of the lip, which is not cosmetically pleasing and, in severe cases, can cause problems with creating a tight oral seal (Figure 4.28). In addition, notching of the vermilion border can occur following lip repair and is often quite problematic to the patient. As discussed in Chapter 3, edema and vasoconstriction from anesthetic can blanch the pink of the mucosal lip, making this important cosmetic junction difficult to appreciate during surgery. Preoperative marking with a surgical pen or gentian violet ink helps with proper alignment in such repairs.
Application of secondary intention for the restoration of the apical triangle after Mohs micrographic surgery
Published in Journal of Dermatological Treatment, 2021
Byung Ho Oh, Yeongjoo Oh, Kyoung Ae Nam, Mi Ryung Roh, Kee Yang Chung
In our SI cases, we applied a lip rotation flap to the AT area to reduce the initial defect size without causing eclabium. Using this method, all patients achieved fully granulated status with minimal discharge, enabling them to perform self-dressing within approximately two weeks. In fact, one patient swiftly achieved this status after only one day (Figure 4(C)). The relatively superficial defect depth was perhaps one of the important factors affecting the speed of wound healing in this patient. Nevertheless, predicting which patient will have a good final result remains difficult, and the higher standard deviation of CR in the SI group (0.31 vs. 0.08) reflects this difficulty. When using the lip rotation flap, the presence or absence of a mustache can have a significant impact on cosmetic results. If non-hair bearing skin is used for reconstruction of the mustache, partial loss of the mustache, creating an obvious patch of alopecia, may occur.