www.wjps.ir /Vol.3/No.2/July 2014 Ectropion in A Case of Collodion Baby

We had the opportunity to manage a case of bilateral ectropion in a collodion baby. Collodion baby is a rare congenital disorder characterized by parchment like taught membrane covering the whole body. Incidence of this condition is 1 in 300,000 live births.1 A three months old collodion baby was referred to us for management of bilateral ectropion. An appropriate-for-gestational-age boy was born at 39 weeks ’ gestation by a normal vaginal delivery of a 27-year- female, with an unremarkable pregnancy and of a non-consangious marriage (Figure 1). On examination, the patient had bilateral ectropion of both the upper and lower eyelids. The eyelashes on the lower eyelids were missing. There was no evidence of corneal opacities or keratitis. The ears were small, low set and underdeveloped. The nose was flattened. There was slight eclabium, and the mouth was constantly in an open position and like a fish. The whole body was covered with parchment-like membrane resembling collodion and was peeling off on the entire body including the face. Skin biopsy was done elsewhere and showed findings suggestive of collodion baby with epidermal hyperkeratosis and preservation of granular layer. Collodion baby be a manifestation of various conditions,1 bu