TY  - CHAP
M1  - Book, Section
TI  - Incontinentia Pigmenti
A1  - Torres-Zegarra, Carla
A1  - Appachi, Elumalai
A2  - Usatine, Richard P.
A2  - Sabella, Camille
A2  - Smith, Mindy Ann
A2  - Mayeaux, E.J.
A2  - Chumley, Heidi S.
A2  - Appachi, Elumalai
PY  - 2015
T2  - The Color Atlas of Pediatrics
AB  - A  6-day-old  girl  is  brought  by  her  parents  to  the  emergency  department  for  a  rash  on  her  arms  and  chest.  The  parents  noted  that  over  the  past  3  days,  the  baby  has  had  intermittent  episodes  of  right  eye  deviation  and  upper  extremity  stiffening.  These  episodes  lasted  approximately  30  seconds,  occurred  approximately  3  times  per  day  and  were  associated  with  cyanosis.  The  family  history  was  notable  for  seizures  in  a  maternal  aunt.  On  physical  examination  the  infant  was  quiet,  seemingly  withdrawn  with  stable  vital  signs.  The  infant  had  erythematous  papules  and  vesicles,  some  of  which  had  eroded  with  crusting  on  the  arms  and  anterior  chest  (Figure  228-1).  A  direct  fluorescent  antibody  test  and  culture  from  the  lesions  were  negative  for  herpes  simplex  virus.  Skin  biopsy  of  the  lesions  showed  spongiotic  dermatitis  with  many  eosinophils  and  large  dyskeratotic  cells.  Based  on  the  skin  lesions  and  the  neurological  manifestations,  the  infant  was  diagnosed  with  incontinentia  pigmenti.  Genetic,  neurologic,  and  ophthalmology  consults  were  obtained.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1114880963
ER  -