Incontinentia pigmenti

Incontinentia pigmenti (IP) is a rare X-linked dominant multi-systemic ectodermal dysplasia usually lethal in males and presenting neonatally in females with a bullous rash along Blashko's lines (BL) followed by verrucous plaques evolving over time to hyperpigmented swirling patterns. It is further characterized by teeth abnormalities, alopecia, nail dystrophy and affects occasionally the retina and the central nervous system (CNS).

Colpocephaly

Colpocephaly is an anatomic finding in the brain manifested by occipital horns that are disproportionately enlarged in comparison with other parts of the lateral ventricles.


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PMID (PMCID)
1972849
FEMALE Infant, Newborn
Incontinentia pigmenti in identical twins with separate skin and neurological disorders.
Tanaka K, Kambe N, Fujita M, Ando Y, Takashima S, Yuasa I.
Acta Derm Venereol. 1990;70(3):267-8.
The first baby showed the typical pigmentation of incontinentia pigmenti, while the second baby had hydrocephalus (colpocephaly) without pigmentation.