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Case 1

Philip R. Cohen, MD; Jose Garcia, MD

Arch Pediatr Adolesc Med. 1994;148(5):531-532.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A GIRL WAS born via a normal spontaneous vaginal delivery to a G5,5-0-0-5,31-yearold white woman after 36 weeks of gestation. Her Apgar scores at 1 and 5 minutes were 9/10. Her measurements were as follows: weight, 2.6 g (30th percentile); length, 46 cm (30th percentile); head circumference, 30.5 cm ( 11 th percentile); and chest circumference, 28 cm.

Cutaneous examination at birth was remarkable for several vesicles and bullae on the trunk (Figure 1, top left) and extremities (Figure 1, top right and bottom) and a localized area of alopecia on the scalp (Figure 2). A complete blood cell count demonstrated the following concentrations: hemoglobin, 221 g/L (normal, 140 to 240 g/L); hematocrit, 0.67 (normal, 0.42 to 0.64); leukocytes, 14.7X 10⁷L; and eosinophils, 0.08.

The microscopic sections prepared from a 3-mm punch biopsy specimen obtained from the edge of a blister are shown in Figure 3, top and bottom. . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Dermatology (Dr Cohen), Pathology (Dr Cohen), and Pediatrics (Dr Garcia), The University of Texas Medical School at Houston (Tex), and the Section of Dermatology, the Department of Medical Specialties, The University of Texas M.D. Anderson Cancer Center, Houston.

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