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- W3090573735 abstract "1. Stephanie C. Erdle, MD*2. Karel O’Brien, MD, FRCP(C)† 1. *Department of Paediatrics, The Hospital for Sick Children, Toronto, Canada2. †Department of Neonatology, Mount Sinai Hospital, Toronto, CanadaA newborn boy presented at 5 minutes of age with a large erosion on the sole of his left foot (Figs 1 and 2), which appeared after drying. He was a monochorionic diamniotic twin, delivered at 35 6/7 weeks by elective cesarean delivery after an uncomplicated pregnancy. Birth weight was 2,230 g (10th percentile) and he appeared very well at birth, with Apgar scores of 8 and 9. There was no family history of herpetic lesions or frequent blistering, and his twin brother was well, with no evidence of blisters.Figure 1. Large erosion on the plantar aspect of the left foot.Figure 2. Two small blisters on the plantar aspect of the right foot.At 1 hour of age, 2 additional smaller blisters were noted on the sole of the right foot (Fig 2). There were no blisters elsewhere on the skin or mucosal membranes, and the remainder of the physical examination was unremarkable.Given the possibility of herpes simplex virus infection, a swab was taken from the blisters for viral polymerase chain reaction, and an evaluation for sepsis was performed. The patient was started on acyclovir and antibiotics and admitted to the NICU for further monitoring. In the NICU, he remained afebrile and well, with no further blistering. The results of all cultures were negative. The dermatology team performed a biopsy of the blister, which revealed the diagnosis.The biopsy revealed subepidermal blisters, with the absence …" @default.
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- W3090573735 date "2020-10-01" @default.
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- W3090573735 title "A Neonate with Blisters" @default.
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- W3090573735 doi "https://doi.org/10.1542/pir.2017-0333" @default.
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