{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T14:05:43Z","timestamp":1787061943118,"version":"build-2736575974"},"reference-count":8,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2025,3,6]]},"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:p>Aplasia cutis congenita (ACC) represents a rare group of disorders that, due to their infrequent occurrence, can pose challenges in diagnosis. It commonly presents as an isolated defect on the scalp and affects the dermal and epidermal layers of the skin. While the prognosis for isolated ACC without underlying defects is generally benign, life-threatening complications like sagittal sinus bleeding or secondary infections can occur.<\/jats:p>\n                  <jats:p>Our case report highlights a case of type 5 aplasia cutis with associated fetus papyraceous in the surviving twin of a dichorial diamniotic pregnancy. This case report sheds light on an aspect of paediatric dermatology that remains unfamiliar to many healthcare professionals and highlights key principles of management.<\/jats:p>","DOI":"10.1136\/bcr-2024-263031","type":"journal-article","created":{"date-parts":[[2025,3,26]],"date-time":"2025-03-26T02:16:01Z","timestamp":1742955361000},"page":"e263031","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Aplasia cutis congenita associated with fetus papyraceous"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-4943-4301","authenticated-orcid":false,"given":"Sneha","family":"Mishra","sequence":"first","affiliation":[{"name":"Blacktown and Mount Druitt Hospital, Blacktown, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samridh","family":"Nagar","sequence":"additional","affiliation":[{"name":"Bathurst Base Hospital, Bathurst, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thankappan Sham","family":"Kumar","sequence":"additional","affiliation":[{"name":"Bathurst Base Hospital, Bathurst, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,3,25]]},"reference":[{"key":"2025082802212444000_18.3.e263031.1","doi-asserted-by":"crossref","first-page":"994","DOI":"10.1111\/ced.14331","article-title":"Classification of aplasia cutis congenita: a 25-year review of cases presenting to a tertiary paediatric dermatology department","volume":"45","author":"Sathishkumar","year":"2020","journal-title":"Clin Exp Dermatol"},{"key":"2025082802212444000_18.3.e263031.2","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1038\/jp.2017.142","article-title":"A practical approach to the evaluation and treatment of an infant with aplasia cutis congenita","volume":"38","author":"Humphrey","year":"2018","journal-title":"J Perinatol"},{"key":"2025082802212444000_18.3.e263031.3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4632.2012.05545.x"},{"key":"2025082802212444000_18.3.e263031.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0190-9622(86)70082-0"},{"key":"2025082802212444000_18.3.e263031.5","doi-asserted-by":"publisher","DOI":"10.1097\/PRS.0000000000000638"},{"key":"2025082802212444000_18.3.e263031.6","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1111\/j.1365-4632.2010.04619.x","article-title":"Aplasia cutis congenita of the trunk and scalp associated with fetus papyraceus","volume":"50","author":"Blouin","year":"2011","journal-title":"Int J Dermatol"},{"key":"2025082802212444000_18.3.e263031.7","first-page":"1","article-title":"Extensive Aplasia Cutis Congenita Encircling the Trunk Associated with Fetus Papyraceus","volume":"2020","author":"Leung","year":"2020","journal-title":"Case Rep Pediatr"},{"key":"2025082802212444000_18.3.e263031.8","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1038\/jid.2014.413","article-title":"Genetics of aplasia cutis reveal novel regulators of skin morphogenesis","volume":"135","author":"Marneros","year":"2015","journal-title":"J Invest Dermatol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-263031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T09:21:32Z","timestamp":1756372892000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-263031"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3]]},"references-count":8,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,3,25]]},"published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1136\/bcr-2024-263031"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-263031","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3]]}}}