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August 1977

Society Transactions

Arch Dermatol. 1977;113(8):1137-1140. doi:10.1001/archderm.1977.01640080139042

MICHIGAN DERMATOLOGICAL SOCIETY  September 1975 Amir H. Mehregan, MD, Recorder

Focal Dermal Hypoplasia. Presented by Robert Lee, MD.  The patient is a 1-month-old baby boy, the first child born of full-term pregnancy and an uncomplicated vaginal delivery. The examination at 3 days of age revealed a jaundiced baby with cutaneous lesions that have persisted. There are multiple oval and annular depressed areas over the face and trunk. The surface of the skin lesions appears atrophic and gives a button-hold type of feeling when palpated. The baby has recession of maxilla and cryptorchidism. There is some asymmetry of face and ears. The jaundice has gradually subsided.

Discussion  Amir H. Mehregan, MD: Biopsy specimen shows definite dermal hypoplasia with the subcutaneous fat tissue situated close to the epidermis. The hypoplastic dermis shows a few telangiectatic capillaries. The network of elastic fibers is well organized. The findings support the clinical impression of focal

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