Hay-Wells syndrome is an autosomal dominant condition characterized by
ankyloblepharon filiforme adnatum, ectodermal dysplasia, and cleft pa
late with or without associated cleft lip (AEC syndrome). Although sev
eral reported patients had eroded skin at birth and recurrent scalp in
fections, these are not generally regarded as major features of the di
sorder. In our experience, denuded skin at birth and chronic scalp ero
sions complicated by infection are common features of this syndrome. A
ggressive wound care in conjunction with early administration of topic
al or systemic antibiotics is suggested.