Presenter: Michael Sabat, MS, DO, Megan Goff, DO, and Sam Smith, MPH, DO

Dermatology Program: Stephen Kessler, D.O.

CHIEF COMPLAINT:  Painful blisters/ulcerations since birth

CLINICAL HISTORY: Patient presented with fragility of skin and slow healing, scarring erosions and ulcers, difficulty swallowing, decreased appetite and weight loss. Previous treatments include oral antibiotics, pureed diet, high-calorie diet, wound care including Vaseline gauze and Bactroban ointment, TAC 0.1% ointment, mineral oil, senicot, and iron. Of note, 12-year-old sister has a similar presentation. Neither the parents nor other siblings are affected.