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    Tight, shiny membrane encases newborn’s skin

    THE CASE

    After a cesarean delivery at 30 weeks, a 1430-gram premature female neonate was noted to have generalized, thick, dark brown scale forming a tight membrane over her entire skin surface (Figure 1). Her mother was a healthy 19-year-old gravida 1 with normal prenatal screening ultrasound and laboratory studies. Family history did not reveal any congenital malformations or genetic disorders. 

    NEXT: What's the diagnosis?

    Telema Nga, MD
    Dr Nga is a third-year neonatology fellow at Vidant Medical Center/East Carolina University, Greenville, North Carolina.
    Leslie Peedin, MD
    Dr Peedin is neonatology attending at Vidant Medical Center/East Carolina University, Greenville.
    Martha E Naylor, MD
    Dr Naylor is clinical associate professor of Pediatrics, Brody School of Medicine at East Carolina University, Greenville.

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