Korean J Dermatol.  2009 Apr;47(4):463-467.

A Case of Bart's Syndrome

Affiliations
  • 1Department of Dermatology and Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea. dbang@yuhs.ac
  • 2Department of Cutaneous Biology, Jefferson Medical College and Jefferson Institute of Molecular Medicine, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.

Abstract

Aplasia cutis congenita is a rare congenital skin defect that presents with sharply outlined ulcerations. The most common site of this disease is the scalp, yet when other areas of the body are involved, there is higher incidence of concomitant congenital diseases or malformations. Bart's syndrome is a rare inherited condition with congenital skin defects that are associated with epidermolysis bullosa. An infant presented with congenital skin defects on the leg, and the infant had recurrent bullous skin lesions on the both hands, feet, wrists and ankles. The skin defect caused only small scar formation and no handicap regarding function and appearance, yet continuously new bullous lesion developed and healed on the both distal extremities. He was diagnosed as suffering with epidermolysis bullosa with the histological findings of epidermal cleavage and negative direct immunofluorescence findings. Herein, we report on a case of Bart's syndrome that displayed aplasia cutis congenita over the lower extremities and skin blistering.

Keyword

Aplasia cutis congenita; Bart's syndrome; Epidermolysis bullosa

MeSH Terms

Animals
Ankle
Blister
Cicatrix
Ectodermal Dysplasia
Epidermolysis Bullosa
Extremities
Fluorescent Antibody Technique, Direct
Foot
Hand
Humans
Incidence
Infant
Leg
Lower Extremity
Scalp
Skin
Stress, Psychological
Ulcer
Wrist
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