# Aplasia Cutis Congenita Type V Associated With Fetus Papyraceus in a Dichorionic Diamniotic Twin Pregnancy

## TL;DR

A male baby was born with skin defects linked to a twin pregnancy where the other fetus died early.

## Contribution

This case uniquely connects type V ACC with fetal papyraceus in a twin pregnancy.

## Key findings

- The neonate had bilateral stellate-shaped truncal lesions consistent with type V ACC.
- The condition was associated with fetal papyraceus in a dichorionic diamniotic twin pregnancy.
- The case highlights the need for further research into ACC's association with fetal demise.

## Abstract

A male neonate was born at 40 weeks and 3 days gestation with bilateral, stellate shaped truncal lesions, consistent with type V aplasia cutis congenita (ACC). The infant was the survivor of a dichorionic diamniotic twin pregnancy, with fetal demise documented at 13 weeks gestation. Here we present a unique case of ACC associated with fetal papyraceus, along with a review of the current literature on this heterogeneous group of disorders.