Article: Dystrophic Epidermolysis Bullosa
Abstract
Epidermolysis bullosa is a rare inherited blistering disease with an incidence of 8-10 per million live births. Dystrophic epidermolysis bullosa is a type of epidermolysis bullosa caused by mutation in type VII collagen, COL7A1. There are 14 subtypes of dystrophic epidermolysis bullosa and 400 mutations of COL7A1. Electron microscopy is the gold standard diagnostic test but expensive. Immunofluorescence study is a suitable diagnostic alternative. Trauma prevention along with supportive care is the mainstay of therapy. Squamous cell carcinoma develops at an early age in epidermolysis bullosa than other patients, particularly in recessive dystrophic epidermolysis bullosa subtypes. Regular follow-up is imperative in detecting and preventing complications. Gene therapy, cell therapy and bone marrow transplantation are the emerging novel therapeutic innovations. Preventing possible skin and mucosal injury in patients requiring surgery should be worked on. Here, we present a case of dystrophic epidermolysis bullosa in a 26-year-old male.
Randhir Sagar Yadav
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal https://orcid.org/0000-0003-4075-3544
Amar Jayswal
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal https://orcid.org/0000-0002-7365-9864
Shumneva Shrestha
Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal https://orcid.org/0000-0001-7368-7884
Sanjay Kumar Gupta
Department of General Practice and Emergency Medicine, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
Upama Paudel
Department of Dermatology, Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
Identifier
https://doi.org/10.31729/jnma.3791
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