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Contributor

Bernard Cohen, MD

Diagnosis

epidermolysis bullosa epidermolysis bullosa, dermolytic (dystrophic) scar

Body Site

foot nail, foot toe

Age

4 years

Pigmentation

dark

Organization

grouped, clustered

Color

pink brown white/hypo

Morphology

fibrosis (scar, increased collagen)

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

This 4-year-old boy with dermolytic epidermolysis bullosa was thriving and developing normally. He developed his first blisters on the hands and feet during the neonatal period, but a few subtle lesions on the lips never interfered with feeding. The nail dystrophy with scarring developed by his first birthday. Recurrent blisters occur primarily on the extremities with occasional lesions on the face and trunk. His parents managed fresh blisters with silver sulfadiazine cream and gauze dressings and rare secondary infections with topical mupirocin ointment.

Description

symmetric bullae, erosions, atrophic pink and hypopigmented scars with milia and nail dystrophy

Categories

vesiculobullous eruptions vesiculobullous eruptions, mechanobullous

Image Added

10/13/2004 23:07:18

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Other Resources

PubMed Medline Plus Medscape

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