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Rüdiger Adam, MD; Horst Schroten, MD

Arch Pediatr Adolesc Med. 2007;161(6):607.

A female full-term neonate was born to healthy parents after an uneventful pregnancy. At birth, flaccid bullae and erosions were noted in a symmetric configuration along the radial aspects of both wrists (Figure 1). Some erosions showed a denuded base indicating recently ruptured bullae, and beginning epithelialization was observed in others (Figure 2).

View larger version (44K): [in this window] [in a new window] [as a PowerPoint slide]   Figure 1. Right arm with multiple bullous and erythematous lesions.

View larger version (42K): [in this window] [in a new window] [as a PowerPoint slide]   Figure 2. Left arm with multiple lesions in various stages of healing. Note 1 bulla filled with serous fluid, 1 freshly ruptured bulla, and 1 area with beginning epithelialization.

What is your diagnosis?

Author Affiliations: Pediatric Infectious Disease Unit, Department of General Pediatrics, University Children's Hospital, Düsseldorf, Germany.

SECTION EDITOR: ALBERT C. YAN, MD; ASSISTANT SECTION EDITOR: SAMIR S. SHAH, MD

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Arch Pediatr Adolesc Med. 2007;161(6):608.
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