case_images: PMC10874135_01
case_images: Cutaneous examination findings in the patient: (a) Telangectasias seen on face and arm, (b) Generalised hyper and hypopigmentation with areas of skin atrophy on neck and arms, (c) Atrophic hypo and hyperpigmented skin with areas of cigarette paper scarring especially on elbows, (d) Areas of skin atrophy on dorsal aspect of fingers and Metacarpophalangeal joints, thick, long, and ragged cuticles, roughened distorted nails, longitudinal ridges, and grooves. (e) Loss of dermatoglyphics and Keratoderma.
case_images: 10.1177_2050313X241231518-fig1.jpg
case_images: PMC10874135_01_10.1177_2050313X241231518-fig1.jpg
case_images: fig1-2050313X241231518
case_images: The eruption of blisters ceased by the age of 5 years, but his skin was left pigmented with easy sunburn and redness on exposure to the sun, and distortion of his nails (Figure 1). Cutaneous examination of the patient revealed generalized hypo and hyperpigmented skin with areas of skin atrophy and telangiectasias seen on the face, neck, and arms alongside palmoplantar keratoderma, loss of dermatoglyphics, loss of cuticles, and roughened distorted nails (Figure 1).
case_images: (a) Ocular examination revealed mild ectropion with distorted architecture of the medial canthus and conjunctivitis because of misdirected lashes. (b) Oral cavity examination revealed restricted mouth opening, angular cheilitis, and loss of all teeth except three premolar teeth.
case_images: 10.1177_2050313X241231518-fig2.jpg
case_images: PMC10874135_01_10.1177_2050313X241231518-fig2.jpg
case_images: fig2-2050313X241231518
case_images: Eye examination showed mild ectropion with misdirected eyelashes causing irritation (Figure 2(a)). Loss of teeth was observed with the exception of three premolar teeth (Figure 2(b)).