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Contributor

Alison Rhein, MD

Diagnosis

epidermolysis bullosa, dermolytic (dystrophic) aplasia cutis congenita Bart syndrome

Body Site

leg foot ankle

Age

3 days

Pigmentation

dark

Organization

Color

red purple

Morphology

ulcerated (erosion / ulcer)

Pattern

symmetric

Comments

This 3 day old infant was noted to have symmetric well defined erosions over both shins, ankles, and feet at birth. Within one month the lesions healed with atrophic scars, and no new vesicles or erosions have appeared. His growth and development have been normal, and the family history is negative for blisteing disorders, birthmarks, congenital scars, poor dentitiion, oral blistering, nail dystrophy, and fragile skin. A skin biopsy showed a subepidermal blister and electronmicroscopy demonstrated the basement membrane with the basal lamina at the roof of the blister.

Description

symmetric erosions over both shins

Categories

vesiculobullous eruptions, mechanobullous vesiculobullous eruptions neonatal dermatology genodermatosis/genetic disorder

Image Added

2/6/2002 23:10:18

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PubMed Medline Plus Medscape

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