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Epidermolysis bullosa acquisita.
[dystrophic epidermolysis bullosa]
Epidermolysis
bullosa
acquisita
(
EBA
)
is
a
chronic
autoimmune
subepidermal
bullous
disease
with
clinical
features
similar
to
the
genetic
form
of
dystrophic
epidermolysis
bullosa
.
EBA
is
characterized
by
the
presence
of
autoantibodies
against
type
VII
collagen
which
is
a
major
component
of
the
anchoring
fibrils
at
the
dermal-epidermal
junction
.
EBA
can
be
divided
into
two
main
clinical
types
;
mechanobullous
and
inflammatory
EBA
.
Mechanobullous
EBA
,
referred
to
as
classic
EBA
,
presents
with
skin
fragility
,
blisters
and
dystrophic
changes
on
trauma-prone
areas
.
Inflammatory
EBA
resembles
other
autoimmune
subepidermal
bullous
diseases
.
Compelling
evidence
from
mouse
models
supports
a
pathogenic
role
of
autoantibodies
against
type
VII
collagen
in
EBA
.
Treatment
of
EBA
is
often
unsatisfactory
.
The
most
widely
used
systemic
treatment
is
corticosteroids
.
Colchicine
and
dapsone
have
been
reported
to
be
good
treatment
modalities
when
combined
with
corticosteroids
.
Some
intractable
cases
of
EBA
have
successfully
been
treated
with
intravenous
immunoglobulin
or
rituximab
.
Diseases
Validation
Diseases presenting
"chronic autoimmune subepidermal"
symptom
dystrophic epidermolysis bullosa
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