Frangu Mimoza, Gedde-Dahl Tobias, Verder Henrik
Sygehus Vestsjaelland, Børneafdelingen, Rikshospitalet, Oslo.
Ugeskr Laeger. 2006 Nov 27;168(48):4222-4.
A clinical case of epidermolysis bullosa simplex Dowling-Meara (EBS-DM) is described in a girl from birth to 23 years of age. In the neonatal period the skin symptoms were very severe, with general blister formation and Nikolsky's phenomenon. With time the symptoms improved. After puberty, the main symptoms were palmar and plantar hyperkeratosis and nail hypertrophy, plus occasional blistering. The diagnosis was verified by electron microscopy. The actual case was a new mutation, determined to be KRT-14-R125H. The incidence of EBS-DM in Denmark has been calculated as 1 in 300,000.
本文描述了一名从出生到23岁的女孩患单纯性大疱性表皮松解症Dowling-Meara型(EBS-DM)的临床病例。新生儿期皮肤症状非常严重,出现全身性水疱形成及尼氏征。随着时间推移症状有所改善。青春期后,主要症状为掌跖角化过度和指甲肥厚,偶尔出现水疱。通过电子显微镜检查确诊。该实际病例为新的突变,确定为KRT-14-R125H。丹麦EBS-DM的发病率经计算为1/300,000。