Aplasia cutis congenita. 8.0 x 6.0 cm, yellowish-white alopecic focus with shiny surface, existing since birth, unchanged for years except for size increase during physical growth.
Aplasia cutis congenita. general view: 1.5 x 1.2 cm in size, hairless, slightly sunken, yellowish-whitish area with shiny surface, existing since birth, unchanged for years except for size increase during physical growth.
Aplasia cutis congenita. detail magnification: Classically specular, slightly sunken, light yellow macula with smooth surface. in the marginal area, in the lower left picture, a smaller area with tufted hairs is visible.
Aplasia cutis congenita. a sharply defined, whitish-yellowish, shallowly sunken, hairless area with atrophic, parchment-like skin surface, existing since birth. on incident light microscopy any follicular structures are missing.
Aplasia cutis congenita. overview: complete absence of follicular structures (neither epithelial nor connective tissue parts of the follicles are detectable). collagen bundles aligned parallel in sections.
Aplasia cutis congenita. detail enlargement: largely normal structured surface epithelium, which is keratinized orthokeratotically by a str. granulosum. single bright cells are visible, the dermis appears loosened and is poor in structure. few vessels.
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