A 5-day-old white boy (weight, 2550 g), the product of a 38-week gestation, presented with gastroschisis and congenital erosions of both index fingers and right thumbs. After repair of the gastroschisis, the patient was discharged and was later hospitalized 3 times for dehydration and failure to thrive. On physical examination at the last admission, he had 1- to 10-cm, generalized, nonscarring, tense blisters and erosions on his face, including the lips, as well as his hard palate, trunk, perianal area, and extremities, including the heels (Figure 1).
Leber K, Shenefelt PD. Congenital Erosions. Arch Dermatol. 2001;137(11):1521-1526. doi: