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Junctional epidermolysis bullosa in a female Nigerian child: a case report.
[junctional epidermolysis bullosa]
To
report
the
case
of
Junctional
Epidermolysis
bullosa
seen
in
the
University
of
Calabar
Teaching
Hospital
,
Calabar
and
to
draw
attention
to
the
existence
of
this
condition
among
Nigerians
.
A
Nigerian
female
infant
,
normal
at
birth
,
developed
extensive
blistering
skin
eruptions
from
the
age
of
ten
days
.
The
lesions
involved
the
face
,
neck
,
shoulders
,
upper
trunk
and
the
buccal
mucosa
of
the
lower
lip
sparing
the
limbs
.
The
cornea
were
cloudy
.
The
history
,
type
and
distribution
of
the
lesions
were
consistent
with
Junctional
Epidermolysis
bullosa
(
EB
)
.
This
was
confirmed
by
skin
biopsy
and
histology
.
Various
medications
including
systemic
and
topical
steroids
,
antibiotics
and
other
topical
creams
only
produce
transient
relief
with
frequent
relapses
.
The
Junctional
EB
type
is
known
to
be
autosomal
recessive
in
inheritance
though
there
was
no
positive
family
history
.
Avoidance
of
heat
,
warm
bath
and
trauma
and
genetic
counseling
can
be
helpful
in
reducing
frequent
relapses
of
the
condition
that
has
no
specific
treatment
.
This
appears
to
be
the
first
case
of
Epidermolysis
bullosa
to
be
reported
from
Calabar
,
south
eastern
Nigeria
.
This
case
report
shows
that
this
rare
condition
does
affect
people
in
the
tropics
.
Efforts
should
always
be
made
to
reach
a
definitive
diagnosis
whenever
unusual
conditions
are
encountered
in
clinical
practice
.
Diseases
Validation
Diseases presenting
"first case"
symptom
achondroplasia
adrenal incidentaloma
allergic bronchopulmonary aspergillosis
alpha-thalassemia
aniridia
aromatase deficiency
canavan disease
carcinoma of the gallbladder
child syndrome
cholangiocarcinoma
classical phenylketonuria
coats disease
cohen syndrome
congenital toxoplasmosis
cushing syndrome
cutaneous mastocytosis
dedifferentiated liposarcoma
dentin dysplasia
dracunculiasis
dystrophic epidermolysis bullosa
epidermolysis bullosa simplex
esophageal adenocarcinoma
esophageal carcinoma
fabry disease
familial mediterranean fever
focal myositis
gm1 gangliosidosis
harlequin ichthyosis
hodgkin lymphoma, classical
homocystinuria without methylmalonic aciduria
junctional epidermolysis bullosa
kabuki syndrome
krabbe disease
lamellar ichthyosis
legionellosis
liposarcoma
locked-in syndrome
malignant atrophic papulosis
monosomy 21
neonatal adrenoleukodystrophy
oculocutaneous albinism
omenn syndrome
papillon-lefèvre syndrome
pendred syndrome
pleomorphic liposarcoma
primary effusion lymphoma
primary hyperoxaluria type 1
proteus syndrome
pyomyositis
systemic capillary leak syndrome
thoracic outlet syndrome
von hippel-lindau disease
waldenström macroglobulinemia
well-differentiated liposarcoma
werner syndrome
wolf-hirschhorn syndrome
x-linked adrenoleukodystrophy
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