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Herlitz junctional epidermolysis bullosa.
[junctional epidermolysis bullosa]
Junctional
epidermolysis
bullosa
type
Herlitz
(
JEB-H
)
is
the
autosomal
recessively
inherited
,
more
severe
variant
of
"
lucidolytic
"
JEB
.
Characterized
by
generalized
,
extensive
mucocutaneous
blistering
at
birth
and
early
lethality
,
this
devastating
condition
is
most
often
caused
by
homozygous
null
mutations
in
the
genes
LAMA
3
,
LAMB
3
,
or
LAMC
2
,
each
encoding
for
1
of
the
3
chains
of
the
heterotrimer
laminin-
332
.
The
JEB-H
subtype
usually
presents
as
a
severe
and
clinically
diverse
variant
of
the
EB
group
of
mechanobullous
genodermatoses
.
This
article
outlines
the
epidemiology
,
presentation
,
and
diagnosis
of
JEB-H
.
Morbidity
and
mortality
are
high
,
necessitating
optimized
protocols
for
early
(
including
prenatal
)
diagnosis
and
palliative
care
.
Gene
therapy
remains
the
most
promising
perspective
.
Diseases
Validation
Diseases presenting
"clinically diverse variant"
symptom
junctional epidermolysis bullosa
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