CASE REPORT Successful Breast Reconstruction in a Patient With Epidermolysis Bullosa.

[junctional epidermolysis bullosa]

Epidermolysis bullosa is a rare skin disorder characterized by blister formation in response to minor trauma as well as extracutaneous manifestations . Details of the surgical history and technical considerations for performing breast reconstruction in a patient with epidermolysis bullosa are discussed .The history and details of breast reconstruction in a patient with epidermolysis bullosa are reported .A 56 -year -old patient with junctional epidermolysis bullosa developed left breast cancer , which was initially treated with lumpectomy . Two years later , a completion total mastectomy was performed for recurrent disease with immediate 2 -stage implant-based reconstruction . Nipple reconstruction was completed using a skate flap technique with full-thickness skin graft harvested from the groin region . No blistering , infection , or wound dehiscence was observed .Successful immediate implant breast reconstruction is feasible in patients with epidermolysis bullosa . Reconstructive decision-making should be individualized based on the extent and severity of the skin disease .