We recently had a full term normal vaginal delivered baby. Who had bilaterally on flanks scar like marks(see photo). His antenatal history and other examination is unremarkable. No associated anomaly as well. Don't know what it is at 'zero' hours of life...! Please share your views.

May be congenital varicella syndrome scars? Any rash before 20th week of pregnancy? I would rule out congenital varicella syndrome with PCR of VZV and look for associated malformations (eye,cerebral US...)

Def looks like scar/keloid tissue!

Have you done biopsy and histopathology?

I donot have any clues, never seen such leisions on day one of life. Please keep us updated about the case and biopsy result

Its Aplasia Cutis Congenita (ACC) Read more on this on : http://www.easypeds.com/2012/08/a-rare-case-aplasia-cutis.html

Its Aplasia Cutis Congenita (ACC) Read more on this on : http://www.easypeds.com/2012/08/a-ra...sia-cutis.html