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Congenital Erosions
Kathleen Leber, MD;
Philip D. Shenefelt, MD
University of South Florida, Tampa
Arch Dermatol. 2001;137:1521-1526.
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REPORT OF A CASE
A 5-day-old white boy (weight, 2550 g), the product of a 38-week gestation, presented with gastroschisis and congenital erosions of both index fingers and right thumbs. After repair of the gastroschisis, the patient was discharged and was later hospitalized 3 times for dehydration and failure to thrive. On physical examination at the last admission, he had 1- to 10-cm, generalized, nonscarring, tense blisters and erosions on his face, including the lips, as well as his hard palate, trunk, perianal area, and extremities, including the heels (Figure 1).
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Figure 1.
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Nikolsky sign was negative. Milia, scars, and atrophy were not observed. The nails were slightly dystrophic. The patient had a feeble, hoarse cry, sunken anterior fontanelle, dry mucous membranes, and an absence of tears. Respiratory, cardiovascular, and neurologic examination revealed no abnormalities. During the last hospital admission, the patient became hypotensive, tachypneic, . . . [Full Text of this Article]
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