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Age and etiology of childhood epidermolysis bullosa mortality.
[dystrophic epidermolysis bullosa]
Abstract
Epidermolysis
bullosa
(
EB
)
is
a
heterogeneous
group
of
congenital
blistering
diseases
that
are
usually
present
in
the
neonatal
period
.
They
are
characterized
by
blister
formation
in
response
to
rubbing
or
frictional
trauma
.
EB
is
classified
into
three
major
categories
,
each
with
many
subtypes
based
on
the
precise
location
at
which
separation
or
blistering
occurs
,
namely
epidermolysis
bullosa
simplex
(
EBS
)
,
junctional
epidermolysis
bullosa
(
JEB
)
,
and
dystrophic
epidermolysis
bullosa
(
DEB
)
.
We
describe
the
causes
and
ages
of
death
of
three
cases
of
EB
in
Hong
Kong
.
A
24
-
year
-old
male
with
EBD
diagnosed
in
the
neonatal
period
lived
a
withdrawn
life
after
completing
secondary
school
and
died
of
metastaic
squamous
cell
carcinoma
.
Two
neonates
of
consanguineous
Pakistani
parents
,
one
with
JEB
and
the
other
with
EB-Pyloric
Atresia
variant
,
died
of
sepsis
in
infancy
.
We
performed
an
extensive
literature
review
of
the
causes
and
ages
of
death
of
these
diseases
.
EB
is
a
heterogeneous
inherited
blistering
skin
disease
associated
with
significant
morbidity
and
mortality
.
EBS
is
occasionally
associated
with
death
at
early
ages
with
sepsis
.
Patients
with
JEB
usually
died
of
sepsis
at
young
age
.
DEB
patients
often
survive
to
adulthood
and
die
of
cardiopulmonary
and
renal
complications
.
Squamous
cell
carcinoma
and
metastases
are
unique
in
DEB
.
Diseases
Validation
Diseases presenting
"metastases are unique in deb"
symptom
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
junctional epidermolysis bullosa
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