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Esophagitis and almost complete esophageal occlusion in a girl with epidermolysis bullosa.
[dystrophic epidermolysis bullosa]
Epidermolysis
bullosa
is
a
genetically
transmitted
skin
disorder
that
typically
manifests
with
trauma-induced
skin
blistering
,
scarring
and
in
some
cases
mucosal
involvement
.
Esophageal
webs
,
strictures
or
stenosis
can
be
found
in
about
a
third
of
the
patients
with
the
recessive
dystrophic
type
of
this
disease
.
We
report
a
six
-
year
-old
girl
with
recessive
dystrophic
epidermolysis
bullosa
and
progressive
dysphagia
.
Almost
complete
esophageal
occlusion
was
found
on
barium
swallow
and
esophagoscopy
(
endoscopic
signs
of
esophagitis
were
also
seen
)
.
She
was
treated
successfully
with
fluoroscopically
guided
balloon
dilatation
and
esomeprazole
.
Fluoroscopically
guided
balloon
dilatation
and
postdilatation
use
of
esomeprazole
is
a
safe
and
effective
therapy
for
recessive
dystrophic
epidermolysis
bullosa
patients
with
almost
complete
esophageal
occlusion
and
esophagitis
.
Diseases
Validation
Diseases presenting
"strictures or stenosis can be found in about a third of the patients with the recessive dystrophic type of this disease"
symptom
dystrophic epidermolysis bullosa
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