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March 1958


AMA Arch Derm. 1958;77(3):369-371. doi:10.1001/archderm.1958.01560030115028

Incontinentia Pigmenti. Presented by Dr. Arthur B. Kern.

According to the obstetrician who delivered this now 4-month-old white baby, a generalized bullous eruption, most marked on the legs, was present at birth. The bullae subsequently crusted, and the skin appeared to be improving until the baby was about 2 months of age, when there was the recurrence of generalized lesions. The eruption was asymptomatic. Past history and family history were negative.

At the time of my first examination, in January, 1957, when the child was 2 months of age, a some-what bizarre eruption was present. Over the legs and forearms were numerous brown and violaceous flat papules, most of which were joined in linear irregular bands. There were some crusted verrucous lesions on the fingers. On the trunk were many erythematous papules. When seen two weeks later an additional finding was tense superficial vesicles on the

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