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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
"specific treatment"
symptom
acute rheumatic fever
adrenal incidentaloma
adrenomyeloneuropathy
benign recurrent intrahepatic cholestasis
canavan disease
classical phenylketonuria
cystinuria
esophageal adenocarcinoma
fabry disease
familial hypocalciuric hypercalcemia
homocystinuria without methylmalonic aciduria
junctional epidermolysis bullosa
megacystis-microcolon-intestinal hypoperistalsis syndrome
severe combined immunodeficiency
werner syndrome
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