RT Journal
A1 Leal L, Vicente M, Mascaró J, Jr, Bombí J, González-Enseñat M
T1 PIcture of the month—quiz case
JF Archives of Pediatrics & Adolescent Medicine
JO Archives of Pediatrics & Adolescent Medicine
YR 2010
FD September 1
VO 164
IS 9
SP 875
OP 875
DO 10.1001/archpediatrics.2010.150-a
UL http://dx.doi.org/10.1001/archpediatrics.2010.150-a
AB 
Skin examination revealed erosions and crusts over the face and fingers. There was dyspigmentation with hyperpigmented and hypopigmented macules in both sun-exposed and non–sun-exposed areas. The skin was thin and atrophic, with cigarette-paper–like wrinkling, especially over the dorsa of the hands and feet (Figure 1). Proximal webbing was present between the middle and ring fingers (Figure 2). There were no scars and no milia (Figure 3). Nails, gingiva, and mucous membranes were normal.