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提高医疗服务提供者对大疱性表皮松解症的认识并朝着治愈迈进。

Raising Awareness Among Healthcare Providers about Epidermolysis Bullosa and Advancing Toward a Cure.

作者信息

Tabor Aaron, Pergolizzi Joseph V, Marti Guy, Harmon John, Cohen Bernard, Lequang Jo Ann

机构信息

GenArmor, Winston-Salem, North Carolina.

NEMA Research, Inc, Naples, Florida.

出版信息

J Clin Aesthet Dermatol. 2017 May;10(5):36-48. Epub 2017 May 1.

Abstract

Epidermolysis bullosa (EB) is an orphan disease that affects about half a million people worldwide, but may not be familiar to all clinicians. The authors' goal was to present a short description of this condition and current research in the form of a narrative review. The authors reviewed the literature on epidermolysis bullosa in order to describe the condition and current genetic research. There are at least 31 subtypes of EB, including junctional EB, dystrophic EB, and Kindler syndrome. Genetic research is crucial in finding strategies to manage and possibly cure EB, which is often undiagnosed or misdiagnosed. EB may present in newborns and may persist over the course of a lifetime. Serious complications can occur with EB, including chronic blisters, wounds, ulcers, pruritus, clubbing of hands and feet, and amputations. Pain is frequently reported. About 80 percent of patients with recessive dystrophic EB will succumb to squamous cell carcinoma by age 55. Promising directions for future research include genome editing, gene therapy, and cell-based therapies. Our growing understanding of genetics and cell therapies may lead to promising therapeutic advances to treat this challenging condition.

摘要

大疱性表皮松解症(EB)是一种罕见病,全球约有50万人受其影响,但并非所有临床医生都熟悉这种疾病。作者的目标是以叙述性综述的形式简要介绍这种疾病及当前的研究情况。作者回顾了关于大疱性表皮松解症的文献,以描述这种疾病及当前的遗传学研究。EB至少有31种亚型,包括交界性EB、营养不良性EB和Kindler综合征。遗传学研究对于找到管理和可能治愈EB的策略至关重要,因为EB常常未被诊断或误诊。EB可在新生儿期出现,并可能持续一生。EB会引发严重并发症,包括慢性水疱、伤口、溃疡、瘙痒、手足杵状指和截肢。患者经常报告疼痛。约80%的隐性营养不良性EB患者在55岁前会死于鳞状细胞癌。未来研究的有前景方向包括基因组编辑、基因治疗和基于细胞的疗法。我们对遗传学和细胞疗法的日益了解可能会带来有前景的治疗进展,以治疗这种具有挑战性的疾病。

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