SRISUPALAK SINGALAVANUA, M.D.*, SUNTHORN HORPOAPAN, M.D.**, V ARAPORN SANGTA WESIN, M.D.**, VILAI RA TRISA WADI, M.D**
Affiliation : * Dermatology Division, ** Neonatal Division, Children's Hospital, Bangkok 10400, Thailand.
Abstract Harlequin fetus is a rare and the most severe form of congenital ichthyosis. Most of the infants die within a few weeks after birth due to sepsis and respiratory difficulties. The case of a female harlequin baby is reported. The baby survived because of good neonatal intensive care, topical emollients and oral etretinate. Now she is over three years old and the skin deve- loped into congenital non-bullous ichthyosiform erythroderma. Unfortunately she had delayed growth and development. This is the first case report of a harlequin fetus in Thailand that had prolonged survival.
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