Symptoma

Pretibial Dystrophic Epidermolysis Bullosa

Pretibial DEB

A case of pretibial epidermolysis bullosa is presented and the literature is reviewed. [ncbi.nlm.nih.gov]

The third biopsy was sent to the present institution. [ijpd.in]

In most cases, nail dystrophy, especially of the toenails, is also present. Often there are no clinical abnormalities at birth, and the disorder may only appear after several years. We report a patient who developed symptoms in his fifth decade. [kclpure.kcl.ac.uk]

  • Nail Abnormality

    The LOC syndrome is characterized by localized blistering and scarring, particularly on the face and neck, in association with upper airway disease activity and nail abnormalities [ 8, 9 ]. [ojrd.biomedcentral.com]

  • Suggestibility

    A lodscore of 4.71 at e 0 was obtained, suggesting linkage with COL7A1. Heterozygosity for a COL7A1 mutation most proba- bly causes EB in this family. [dokumen.tips]

    Features were suggestive of pretibial DEB. Since it was associated with intense itching, the lesion was termed as pretibial DEB pruriginosa which has combined elements of exclusive pretibial lesions and intense itching. [ijpd.in]

    Individual lesions, which tend to be papular or plaque-like, are often violaceous, suggesting the clinical diagnosis of lichen planus. Some patients complain of pruritus. [orpha.net]

    Conclusion: These results are suggestive for an autosomal semidominant model of inheritance with incomplete penetrance and variable expression for the identified mutation. [hal.archives-ouvertes.fr]

  • Neglect

    For patients, insult is thus added to injury and they feel abandoned, neglected, and frustrated. [books.google.de]

  • Incontinence

    Pigment incontinence was noted. Histological features were suggestive of a noninflammatory subepidermal bullous disorder favoring a diagnosis of DEB. [ijpd.in]

  • Lymphocytic Infiltrate

    The dermis may show moderately dense lymphocytic infiltrate. The keratinous cysts have been linked to be of eccrine origin. [10] The mainstay of treatment for this condition includes prevention of trauma and local wound care. [ijpd.in]

    There was mild interstitial and perivascular polymorpho-lymphocytic infiltrate in the upper and mid-dermis. Milia were also observed in few sections. He could not afford the cost of immmunofluorescence or molecular studies. [ispub.com]

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

Recent advances in the treatment of junctional EB by transplantation of genetically modified epidermal stem cells and successful gene expression repair by spliceosome-mediated RNA trans-splicing in EB simplex promise to revolutionize the treatment of [ijpd.in]

The demarcation of the antigens in the roof of the blister suggests cleavage below the lamina densa There are no effective treatments nor cure for EB. The treatments include multidisciplinary health care and social well-being. [ncbi.nlm.nih.gov]

The material is in no way intended to replace professional medical care by a qualified specialist and should not be used as a basis for diagnosis or treatment. [orpha.net]

Treatment is based on the signs and symptoms present in each person. [malacards.org]

The prognosis was explained to the patient and he was given symptomatic treatment. [e-ijd.org]

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]

• Bistering in mouth is mild and teeth normal• Perianal lesions – intense pain• Clinically often impossible to distinguish from Dominant DEB• Good long term prognosis 50. [slideshare.net]

Prognosis varies considerably and is based on both EB subtype and the overall health of the patient. [ojrd.biomedcentral.com]

[…] fibrils. 27 DEB is characterized by abnormal fibrils and blister formation beneath the lamina densa of the dermoepidermal junction. 28 The ultrastructural findings of skin in DEB often reflect the severity of clinical disease and can be an indicator of prognosis [nature.com]

Etiology Pretibial DEB is caused by mutations within the type VII collagen gene ( COL7A1 ). Mutations in this gene lead to an alteration of function or to reduced amounts of collagen VII. [orpha.net]

Life with Epidermolysis Bullosa (EB): Etiology, Diagnosis, Multidisciplinary Care and Therapy, New York: Springer Wien; 2009. [rarediseases.org]

( 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]

Life with epidermolysis bullosa (EB): etiology, diagnosis, multidisciplinary care and therapy. Wien/New York: Springer; 2008. p. 185–96. Google Scholar 37. [doi.org]

Life with epidermolysis bullosa: etiology, diagnosis, and multidisciplinary care and therapy. Wien/New York: Springer Verlag GmbH; 2009. p. 338. Google Scholar Fine JD, Eady RAJ, Bauer EA, et al. [link.springer.com]

Summary Epidemiology Prevalence is unknown. Approximately 40 families or sporadic cases have been reported to date. Clinical description The disease usually manifests at birth or during infancy, but may also be delayed until the adolescence. [orpha.net]

[…] eosinophils inv(16)(p13q22) or t(16;16)(p13;q22) Synonym(s): - DEB, acral - DEB-ac Classification (Orphanet): - Rare genetic disease - Rare skin disease Classification (ICD10): - Congenital malformations, deformations and chromosomal abnormalities - Epidemiological [csbg.cnb.csic.es]

Fine JD, Bauer E, McGuire J, Moshell A, eds.Epidermolysis Bullosa: Clinical, Epidemiologic, and Laboratory Advances and the Findings of the National Epidermolysis Bullosa Registry 1st edition The Johns Hopkins University Press; 1999. [rarediseases.org]

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]

The epidemiology of inherited epidermolysis bullosa. Findings in US, Canadian, and European study populations. In: Fine JD, Bauer EA, McGuire J, Moshell A, editors. [nature.com]

Pathophysiology In the absence of mutations of the COL7A1 gene, an autoimmune response against type VII collagen can result in an acquired form of epidermolysis bullosa called epidermolysis bullosa acquisita. [8] There exist other types of inherited epidermolysis [ipfs.io]

Pathophysiology [ edit ] In the absence of mutations of the COL7A1 gene, an autoimmune response against type VII collagen can result in an acquired form of epidermolysis bullosa called epidermolysis bullosa acquisita. [7] There exist other types of inherited [en.wikipedia.org]

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. [mayoclinic.org]

Your skin Holds body fluids in, preventing dehydration Keeps harmful microbes out, preventing infections Helps you feel things like heat, cold, and pain Keeps your body temperature even Makes vitamin D when the sun shines on it Anything that irritates [icdlist.com]

The keratinous cysts have been linked to be of eccrine origin. [10] The mainstay of treatment for this condition includes prevention of trauma and local wound care. [ijpd.in]

Therapy should be directed toward prevention of skin trauma to avoid new blister formation, prevention of secondary bacterial infection, aggressive treatment of infection when it occurs, measures to improve wound healing, maintenance of good nutrition [nature.com]

Management• Blistering becomes less frequent as age advances• Prevention of trauma• Prevention of infection• Avoidance of provocating factors• Treatment of complications• Usually a team approach 56. • Genetic councilling Gold standard is identification [slideshare.net]