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Adult Junctional Epidermolysis Bullosa
Localized Junctional Epidermolysis Bullosa Non-Herlitz Type

Presentation

DEB Subtypes Features Dominant generalised DEB Generalised blistering present at birth Blistering becomes localised to hands, feet, elbow or knees as the child grows older and in response to friction Small white spots called milia are often present at [dermnetnz.org]

At the age of 10 the nails were gradually shed and now no nails were present on the fingers or toes. [ijdvl.com]

In JEB generalized severe, blisters are present at birth or become apparent in the neonatal period. Congenital malformations of the urinary tract and bladder may also occur. [ncbi.nlm.nih.gov]

Present On Admission POA Help "Present On Admission" is defined as present at the time the order for inpatient admission occurs — conditions that develop during an outpatient encounter, including emergency department, observation, or outpatient surgery [icd10data.com]

Skin

  • Plantar Hyperkeratosis

    Palmar hyperhidrosis MedGen UID: 346478 • Concept ID: C1856953 • Finding Plantar hyperkeratosis MedGen UID: 341658 • Concept ID: C1856954 • Finding Hyperkeratosis affecting the sole of the foot. [ncbi.nlm.nih.gov]

    Severe palmo-plantar hyperkeratosis in Dowling-Meara epidermolysis bullosa simplex caused by a mutation in the keratin 14 gene (KRT14). J Invest Dermatol 1998;111:893-5. [ PUBMED ] 14. Fischer T, Gedde-Dahl T Jr. [ijdvl.com]

  • Palmar Hyperhidrosis

    Palmar hyperhidrosis MedGen UID: 346478 • Concept ID: C1856953 • Finding Plantar hyperkeratosis MedGen UID: 341658 • Concept ID: C1856954 • Finding Hyperkeratosis affecting the sole of the foot. [ncbi.nlm.nih.gov]

Psychiatrical

  • Psychiatric Symptoms

    J Pain Symptom Manage. 2003, 25: 288-291. PubMed Google Scholar Shaw RJ, Dayal S, Good J, Bruckner AL, Joshi SV: Psychiatric medications for the treatment of pruritis. Psychosom Med. 2007, 69: 970-978. [bmcmedicine.biomedcentral.com]

Treatment

Because skin blisters are the initial manifestation of epidermolysis bullosa (EB), patients invariably present to the dermatologist for diagnosis and treatment. [books.google.de]

Interdisciplinary management and treatment The objective of treatment of EB is a quality of life as normal as possible; causal treatment of EB including gene therapy is still not available [Ferrari et al. 2006]. [med-college.de]

Prognosis

The prognosis for junctional EB (JEB), particularly JEB, generalized severe (JEB-gen sev), is grim, with about half of all children dying by 1 year of age, and all but a few dying by 25 years of age. [46] The prognosis for dominant dystrophic EB (DDEB [online.epocrates.com]

This is a junctional form of EB that, in contrast to EB letalis of Herlitz, has a good prognosis. [jamanetwork.com]

What is the prognosis of epidermolysis bullosa? The prognosis of epidermolysis bullosa is almost entirely dependent on the specific structural of the genetically altered protein. [medicinenet.com]

This is critical for therapy, genetic counseling, and prognosis. Genetic counseling: Since these diseases are inherited, genetic counseling is essential. [dermquest.com]

Their prognosis mainly depends on adequate nutrition and hence on their dental status. Classification and pathogenesis of EB EB is classified by clinical, genetic and, above all, ultra-structural criteria. [med-college.de]

Etiology

The authors concluded that WNT10A is a major gene in the etiology of isolated hypodontia. [ncbi.nlm.nih.gov]

( J Clin Invest 2009;119:1784 ) Junctional: blisters within lamina lucida, skin appears normal Dystrophic: blisters are sub-lamina densa; dominant or recessive Kindler syndrome: blisters at multiple levels (intra-lamina lucida and sub-lamina densa) Etiology [pathologyoutlines.com]

It has a variety of underlying causes, with a common etiology of chronic inflammation. [plantanious.com]

Life with Epidermolysis Bullosa (EB): Etiology, Diagnosis, Multidisciplinary Care and Therapy. Springer Science & Business Media. p. 242. ISBN 9783211792711. ^ a b c d e f g h i j k "Epidermolysis bullosa". rarediseases.info.nih.gov. [en.wikipedia.org]

Etiology/Causes With epidermolysis bullosa, the fragility of skin and mucosa in which erosions occur because of slight mechanical trauma are inadvertently the result of defects in structural proteins within the epidermis. [physio-pedia.com]

Epidemiology

JEB-I Classification (Orphanet): - Rare developmental defect during embryogenesis - Rare genetic disease - Rare odontologic disease - Rare skin disease Classification (ICD10): - Congenital malformations, deformations and chromosomal abnormalities - Epidemiological [csbg.cnb.csic.es]

[…] centers of reference, do not have genetic diagnosis, and are not members of patients' associations, suggesting that there is room for considerable improvement in their care. keywords accesibilidad a servicios de salud access to health care services; epidemiology [researchportal.uc3m.es]

Google Scholar Fine JD: Epidemiology and the study of genetic diseases. Edited by: Grob JJ, MacKie R, Stern R, Weinstock M. Epidemiology and prevention of skin diseases London: Blackwell Science; 1996. [ojrd.biomedcentral.com]

Epidemiology The most accurate epidemiological data are derived from the National EB registry project from USA and also from Scotland. [1], [4] According to the National EB registry project from USA, the incidence and prevalence of EB are estimated to [ijdvl.com]

A clinical, genetic and epidemiological study. Baltimore: The Johns Hopkins Press 1971 Google Scholar 6. Gedde-Dahl, Jr., T.: Phenotype-genotype correlations in epidermolysis bullosa. In: Birth Defects, Original article series. Vol. [link.springer.com]

Pathophysiology

As knowledge about the pathophysiology of EB has become more advanced, new variants of EB have been identified based on their specific genetic mutation. [ 1 ] Investigations [ 11 ] Skin biopsy is required. [patient.info]

Albopapuloid epidermolysis bullosa (Pasini's disease) are rare subtypes of this disease. [13] Other genetic [ edit ] OMIM Name Locus Gene 609638 epidermolysis bullosa, lethal acantholytic 6p24 DSP Epidermolysis bullosa acquisita [ edit ] Acral peeling [ edit ] Pathophysiology [en.wikipedia.org]

Based on pathophysiology, EB has been classified into three major subtypes that include their own genetic abnormalities: ► EB simplex In EB simplex, the gene that helps make keratin, a fibrous protein in the top layer of skin, is faulty. [physio-pedia.com]

However, the pathogenesis and pathophysiologic relevance of BD in asthma are poorly understood. Occasionally, nonbronchial systemic arteries or pulmonary arteries bleed. [plantanious.com]

We analyzed the location of mutations, gene expression levels, and protein chain assembly of the laminin-5 heterotrimer in six JEB patients to determine how the type of genetic lesion influences the pathophysiology of JEB. [jem.rupress.org]

Prevention

This assists healing and helps to prevent infection. [skincancer.asn.au]

Patients with epidermolysis bullosa acquisita who are on steroids for longer than 1 month may require calcium and vitamin D supplements to prevent osteoporosis. [dxline.info]

The missense mutation G539E allowed synthesis of immunoreactive collagen XVII in keratinocytes, but prevented its secretion, thus causing lack of the protein in the skin. [ncbi.nlm.nih.gov]

Prevention It's not possible to prevent epidermolysis bullosa. But you can take steps to help prevent blisters and infection. Handle your child gently. Your infant or child needs cuddling, but be very gentle. [drugs.com]

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