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Supriya Bisht, Sugandha Arya, Harish Chellani
Department of Pediatrics, VMMC and Safdarjung Hospital, New Delhi, India

Address for Correspondence: Dr Supriya Bisht, Department of Pediatrics, VMMC and Safdarjung Hospital, New Delhi, India. Email:

A term male baby was born vaginally with birth weight of 2.9 kg. Baby cried immediately after birth and was shifted to nursery in view of significant skin lesion all over his body. Baby was born of non-consanguineous marriage. Mother’s antenatal history was uneventful but she did not have regular antenatal visits. On examination, as shown in Fig 1, greenish thickened skin layer was present all over his body with multiple deep red cracks throughout, splitting the layer. Severe ectropion was present, mouth was open and fish mouth in appearance, and ears were flat and folded. Hands and feet were swollen and deformed, with fingers short and flexed. Whole body was in slight flexion due to tautness of the skin layer, along with limitation of movements.

What is the diagnosis_?

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