Blistering Lesions in a Newborn
A 4-day-old infant boy presented with blisters on the skin. He was born at 36 weeks’ gestation by cesarean delivery to a nulliparous mother who received appropriate prenatal care. On day 2 of life, the patient developed bullae with breakdown of the skin on the bilateral heels and on the skin surrounding intravenous injection sites. Similar blisters subsequently developed on the fingers (1), thighs, groin, and toes (2), sparing the oral mucosa and trunk. He remained afebrile and stable and was started on ampicillin, gentamicin, and acyclovir with continued development of blisters. Two weeks later he developed painful ulcers on the tongue that bled upon scraping. What's your diagnosis? A. bullous pemphigoid B. epidermolysis bullosa C. herpes simplex virus D. staphylococcal scalded skin syndrome E. Stevens-Johnson syndrome/toxic epidermal necrolysis
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