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“EB, or Not EB ?” Neonatal Desquamative Impetigo in a Degloving Pattern
Author(s) -
Nguyen Tuyet A.,
Wang Audrey S.,
Eichenfield Lawrence F.,
Barrio Victoria
Publication year - 2016
Publication title -
pediatric dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.542
H-Index - 73
eISSN - 1525-1470
pISSN - 0736-8046
DOI - 10.1111/pde.12766
Subject(s) - impetigo , medicine , degloving , desquamation , dermatology , staphylococcus aureus , epidermolysis bullosa , surgery , biology , bacteria , genetics
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.