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Image Number #8667 (Incontinentia pigmenti)

Diagnosis: Incontinentia pigmenti

Description:

Vesicular rash at birth rupturing to form crusty pigmented lesion

Morphology: Vesicles

Site: Groin infant

Sex: F

Age: 1day

Type: Clinical

Submitted By: Ian McColl

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Differential Diagnosis
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History:

Case of Dr J Lim

1 day old baby girl, refereed from a district hospital with generalized vesicular rash at birth and later vesicles ruptured to form multiple crusty pigmented lesion over both lateral sides of the baby sparing the neck and face. she also has increased 1st toe web space on both foot.
baby otherwise was clinically well, no fever or jaundice, breast feeding well.

her mum was an Indonesian, had 2 abortion previously (probably male), this is her first child. antenatal and intrapartum uneventful, no history of fever or rash during pregnancy.

took a skin biopsy at one of the chest lesion, result pending. will review her next week at 2 weeks old. will be updating next visit's photos.

 

 

DermNetNZ   eMedicine   PubMed   Dermatology Online   Archives   JAAD for "Incontinentia pigmenti"

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