vesiclo bullous lesion mainly on hand and feet starts after 5 days of birth in this 18 months old child d/d and tt plz

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did the child receive any medications before developing these rashes?any history of fever?

did the child receive any medications before developing these rashes?any history of fever?

persistent from 5 days till 18 months?

Pls mention course of illness

? cbdc

kindly tell any footwear or stockings is used as some sharp change of pigmentation is seen

what is the distribution of lesion? mucous membrane involved or not? any other features? fever, musculoskeletal or eye involvement?

lesion starts at the age of 5 days. on and off. starts as vesicles which rupture and erosion . no mucosal involvement. mainly on hand and feet. some lesion on face and scalp also

dystrophic toe nail

fits dystrophic epidermolysis bullosa..will probably require biopsy and iif..

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