Managing skin health in obese children with spina bifida: an overview and case study.

Chronic wound and skin care issues in obese children tend to occur in specific disease-related groups such as patients with neural tube deficits. While the incidence of neural tube deficits has declined as a result of increased awareness about the importance of prenatal folic acid intake, neural tube deficits remain some of the most common congenital anomalies. General care of spina bifida patients must address their physical limitations, structure, decreased sensation, limb weakness, and psychosocial needs related to dependence on others and being "different.