This is a premature baby girl born at 27 weeks gestation, with a birth weight of 620 g. Her length and occipital frontal circumference are appropriate for age. Her parents are non-consanguineous and healthy. Antenatal history was unremarkable. She presents at birth with extensive areas of raw denuded skin over both ears, upper limbs, lower limbs and around the umbilicus. She also had hypoplastic ears bilaterally with hypoplastic left lower limb (Figure A). The 2D echocardiogram showed a patent ductus arteriosus and small patent foramen ovale, with a structurally normal heart. A chest and abdominal radiograph done to check the position of her umbilical lines was found to be abnormal (Figure B).
