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Sheeza Basharat
Sheeza Basharat2 months ago
Blistering Lesions in a Newborn⁠

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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