"EB, or Not EB?" Neonatal Desquamative Impetigo in a Degloving Pattern. Issue 2 (29th January 2016)

• Record Type: Journal Article
• Authors: Nguyen, Tuyet A.; Wang, Audrey S.; Eichenfield, Lawrence F.; Barrio, Victoria
• Is Part Of: Pediatric dermatology. Volume 33:Issue 2(2016:Mar./Apr.)
• Page Start: e147
• Page End: e148
• Publication Date: 2016-01-29
• Subjects: Pediatric dermatology -- Periodicals; Children -- Diseases -- Periodicals; 618.925
• DOI: 10.1111/pde.12766
• Languages: English
• ISSNs: 0736-8046

Abstract

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.