This 2-month-old full term boy was delivered by planned C-section to a healthy 26 year-old woman without complications and a history of normal prenatal care. At birth absence of skin and subcutaneous tissue was moted on the top of the right foot . Erosions were also noted on the left leg, left hand, lips and tongue. The infant was transferred to the nursery intensive care unit where pareteral fluids were administered and breast milk was given with a Haberman feeder. Recurrent blisters and erosions developed with minimal trauma and were unroofed and wrapped with petrolatum gauze. A brief episode of fever before discharge initiated a sepsis work-up which was unremarkable.
well demarcated atrophic plaque with thin overlying epidermis and visible vascular and ligamentous structures