Dystrophic Epidermolysis Bullosa in Pregnancy: A Case Report of the Autosomal Dominant Subtype and Review of the Literature

Epidermolysis bullosa (EB) is a group of inherited blistering skin diseases that vary widely in their pathogenesis and severity. There are three main categories of EB: simplex, junctional, and dystrophic. This classification is based on the level of tissue separation within the basement membrane zon...

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Main Authors: Nicole Colgrove, Rayan Elkattah, Howard Herrell
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2014/242046
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author Nicole Colgrove
Rayan Elkattah
Howard Herrell
author_facet Nicole Colgrove
Rayan Elkattah
Howard Herrell
author_sort Nicole Colgrove
collection DOAJ
description Epidermolysis bullosa (EB) is a group of inherited blistering skin diseases that vary widely in their pathogenesis and severity. There are three main categories of EB: simplex, junctional, and dystrophic. This classification is based on the level of tissue separation within the basement membrane zone and this is attributed to abnormalities of individual or several anchoring proteins that form the interlocking network spanning from the epidermis to the dermis underneath. Dystrophic EB results from mutations in COL7A1 gene coding for type VII collagen leading to blister formation within the dermis. Diagnosis ultimately depends on the patient’s specific genetic mutation, but initial diagnosis can be made from careful examination and history taking. We present a pregnant patient known to have autosomal dominant dystrophic EB and discuss the obstetrical and neonatal outcome. The paper also reviews the current English literature on this rare skin disorder.
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spelling doaj-art-954ee6a486ef4293abaebae66e61a5ba2025-02-03T06:44:34ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/242046242046Dystrophic Epidermolysis Bullosa in Pregnancy: A Case Report of the Autosomal Dominant Subtype and Review of the LiteratureNicole Colgrove0Rayan Elkattah1Howard Herrell2Department of Obstetrics and Gynecology, James H. Quillen College of Medicine, East Tennessee State University, P.O. Box 70569, Johnson City, TN 37614, USADepartment of Obstetrics and Gynecology, James H. Quillen College of Medicine, East Tennessee State University, P.O. Box 70569, Johnson City, TN 37614, USADepartment of Obstetrics and Gynecology, James H. Quillen College of Medicine, East Tennessee State University, P.O. Box 70569, Johnson City, TN 37614, USAEpidermolysis bullosa (EB) is a group of inherited blistering skin diseases that vary widely in their pathogenesis and severity. There are three main categories of EB: simplex, junctional, and dystrophic. This classification is based on the level of tissue separation within the basement membrane zone and this is attributed to abnormalities of individual or several anchoring proteins that form the interlocking network spanning from the epidermis to the dermis underneath. Dystrophic EB results from mutations in COL7A1 gene coding for type VII collagen leading to blister formation within the dermis. Diagnosis ultimately depends on the patient’s specific genetic mutation, but initial diagnosis can be made from careful examination and history taking. We present a pregnant patient known to have autosomal dominant dystrophic EB and discuss the obstetrical and neonatal outcome. The paper also reviews the current English literature on this rare skin disorder.http://dx.doi.org/10.1155/2014/242046
spellingShingle Nicole Colgrove
Rayan Elkattah
Howard Herrell
Dystrophic Epidermolysis Bullosa in Pregnancy: A Case Report of the Autosomal Dominant Subtype and Review of the Literature
Case Reports in Medicine
title Dystrophic Epidermolysis Bullosa in Pregnancy: A Case Report of the Autosomal Dominant Subtype and Review of the Literature
title_full Dystrophic Epidermolysis Bullosa in Pregnancy: A Case Report of the Autosomal Dominant Subtype and Review of the Literature
title_fullStr Dystrophic Epidermolysis Bullosa in Pregnancy: A Case Report of the Autosomal Dominant Subtype and Review of the Literature
title_full_unstemmed Dystrophic Epidermolysis Bullosa in Pregnancy: A Case Report of the Autosomal Dominant Subtype and Review of the Literature
title_short Dystrophic Epidermolysis Bullosa in Pregnancy: A Case Report of the Autosomal Dominant Subtype and Review of the Literature
title_sort dystrophic epidermolysis bullosa in pregnancy a case report of the autosomal dominant subtype and review of the literature
url http://dx.doi.org/10.1155/2014/242046
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AT howardherrell dystrophicepidermolysisbullosainpregnancyacasereportoftheautosomaldominantsubtypeandreviewoftheliterature