Incontinentia Pigmenti. Presented by Dr. Melvin Gelfarb (by invitation), Bellevue Hospital.
An infant girl, now 5 months old, was delivered uneventfully. Two days after the child was born, the mother noted red spots on the baby's buttocks and scalp, and 5 days later she saw warty lesions on the fingers and thighs. The infant was seen when she was 3 weeks old. She then showed erythematous verrucous papules in linear patterns on the buttocks, thighs, and upper portions of the arms. At 4 weeks similar lesions appeared on the fingers, toes, ankles, and chest. At 5 weeks the lesions on the chest were seen to be resolving, leaving behind linear streaks of hyperpigmentation. A biopsy was made of a verrucous lesion from the thigh at this time, and 2 months ago, when the entire process had mostly come to splashes of hyperpigmentation, another biopsy was performed on the chest.
Sobel N, Kesten B. NEW YORK ACADEMY OF MEDICINE, SECTION ON DERMATOLOGY AND SYPHILOLOGY. Arch Dermatol. 1961;83(5):866–875. doi:10.1001/archderm.1961.01580110154028
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