Epidermolysis Bullosa in Newborn: A Rare Case with Management Dilemmas
Dr. Sumita Mehta,
Babu Jagjivan Ram Memorial Hospital, Delhi, India.
Epidermolysis Bullosa (EB) is a rare genetic and connective tissue disorder affecting 1 in every 50000 live birth that causes skin to be very fragile and blister easily. Epidermolysis Bullosa Simplex (EBS) is the most common of all EB and it presents at birth or during the neonatal period. Diagnosis of EB is mainly clinical and can be confirmed by genetic analysis of the parents and the patient. There is presently no definite cure for EB and treatment is only conservative to alleviate symptoms and provide supportive care. We present a case report of a neonate born with reddish discolouration and peeling of skin of fingers of both hands which progressively developed into fluid filled vesicles over the abdomen and buttocks. The biopsy of the lesions was deferred due to financial constraints and a clinical diagnosis of EBS was made. The newborn was started on injectable antibiotics and given supportive therapy in the form of daily wound care and protective bandaging with which she improved and was discharged on 10th postnatal day in stable condition.