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September 1965


Arch Dermatol. 1965;92(3):335-337. doi:10.1001/archderm.1965.01600150125029

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Epidermolysis Bullosa Dystrophica (Recessive Dysplastic). Presented by Lt Col L. R. Mordecai, and Capt O. C. Jensen.  The patient is a 3-year-old white boy who was first noticed to have bullous lesions over the face and extremities two hours after birth. He has continued to develop bullae since birth, but the lesions are located mainly over the extremities. In the past three months, he has begun to develop numerous lesions without preceding trauma. Secondary infection has occurred more frequently. He has had occasional difficulty with swallowing and black bowel movements, as well as bloody streaks on the stool. Two siblings have no difficulty. One sibling died at the age of 34 days of generalized epidermolysis bullosa.Physical examination revealed numerous denuded and vesicular lesions over the hands, feet, palms, soles, arms, chest, and back, with little evidence of scarring or milia formation. Some lesions are noted in the mouth. The

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