Epidermolysis Bullosa Simplex
Epidermolysis bullosa simplex (EBS), is a disorder resulting from mutations in the genes encoding keratin 5 or keratin 14.:598
Blister formation of EBS occurs at the dermoepidermal junction. Sometimes EBS is called epidermolytic.
Cause
Absence of keratin-5,14 since birth.
Diagnosis
Classification
Epidermolysis bullosa simplex may be divided into multiple types:
Type | Locus & Gene | OMIM |
---|---|---|
Epidermolysis bullosa simplex with migratory circinate erythema | 12q13 (KRT5) | 609352 |
Epidermolysis bullosa simplex with mottled pigmentation.
|
12q13 (KRT5) | 131960 |
Epidermolysis bullosa simplex, autosomal recessive | 17q12-q21 (KRT14) | 601001 |
Generalized epidermolysis bullosa simplex
|
17q12-q21 (KRT5), 12q13 (KRT14) | 131900 |
Localized epidermolysis bullosa simplex
|
17q12-q21 (KRT5), 17q11-qter, 12q13 (KRT14) | 131800 |
Epidermolysis bullosa herpetiformis
|
17q12-q21 (KRT5), 12q13 (KRT14) | 131760 |
Epidermolysis bullosa simplex with muscular dystrophy
|
8q24 (PLEC1) | 226670 |
Epidermolysis bullosa simplex with pyloric atresia | 8q24 (PLEC1) | 612138 |
Epidermolysis bullosa simplex of Ogna
|
8q24 (PLEC1) | 131950 |
Management
- No cure for EB
- Treat symptoms
- Protect skin, stop blister formation, promote healing
- Prevent complications
- Necessary treatment: use oral and topical steroid for healing and prevent complication
- Maintain cool environment, avoid overheating and decreases friction
See also
- Epidermolysis bullosa
- List of cutaneous conditions caused by mutations in keratins