A 16-year-old boy presented to us in July 2012 owing to the presence of bullous lesions on his hands for the past few months that had led to scar formation. His mother stated that these lesions began a few months after birth, during the summer, and were not present in the winter. The blisters worsened over time without any medical attention. On physical examination, both his face and hands were scleroatrophic (Figure 1), and his fingers had a clawlike appearance (Figure 2). There were areas of hypopigmentation and hyperpigmentation. Bilateral eyelid ectropion was also visible. His teeth seemed to have a grayish tonality (Figure 3).
Arunachalam M, Bassi A, Galeone M, Scarfi F, Difonzo E. Scleroderma-Like Hands in a 16-Year-Old Boy. JAMA Dermatol. 2013;149(8):969-970. doi:10.1001/jamadermatol.2013.3370a