At birth this infant was noted to have thin membranes covering the ankles and feet as well as the top of the left hand. He developed a few additional blisters on his hands and feet during the first 2 days of life, but the new lesions healed quickly. He fed well and developed no blisters on mucous membranes. Immunofluorescent mapping revealed a cleavage plane beneath the basement membrane zone most consistent with a subepidermal blistering condition. The family history was negative and the parents were not related. Four days later the lesions continue to improve with vaseline gauze and gentle cleaning and dressing changes. These findings are most typical of Bart syndrome or dermolytic epidermolysis bullosa with aplasia cutis congenita.
Description
(4 days lafter birth) large red patches of skin covered with thin reepithelialized skin
