This woman's baby was noted to develop blisters on the hands and feet shortly after birth. The child had no evidence of scarring and the mouth was spared. The baby's vesicles healed quickly but new lesions continued to appear. The mother reported occasional blistering of her feet and hands but with a lower frequency than when she was a child. Examination of the mother showed subtle mottling on the instep of both feet probably from subtle atrophy, nail dystrophy, and only one area of milia formation on the top of 1 foot. Family history was positive for similar blistering in 1 of the mother's cousins and her baby. Skin biopsies from the mother and baby are pending.
hypoplastic and dystrophic nails, subtle scarring of the top of the toes