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"EB, or Not EB?" Neonatal Desquamative Impetigo in a Degloving Pattern
Tuyet A Nguyen1,2, Audrey S Wang1,3, Lawrence F Eichenfield1,3
1Rady Children's Hospital, San Diego, California.
Abstract:
We present the case of a 7-day-old boy with significant, rapidly spreading blistering and desquamation in a "degloving" pattern on the hands that mimicked epidermolysis bullosa but was ultimately diagnosed as bullous impetigo caused by a clinically aggressive strain of Staphylococcus aureus. Bullous impetigo is a desquamating condition caused by local release of S. aureus exfoliative toxin A and is more commonly seen in children. This case highlights the fragility of newborn skin and reviews the major diagnoses that should be considered in an infant with significant blistering.
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