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罕见病产前教育和诊断支持:单纯型大疱性表皮松解症的两个案例研究。

Rare Disease Focused Antenatal Education and Diagnosis Support: Two Case Studies of Epidermolysis Bullosa Simplex.

机构信息

National Epidermolysis Bullosa Dressing Scheme. Program funded by the Federal Department of Health and Aged Care, and administered by Independence Australia, Melbourne, Australia.

Department of Dermatology, Sydney Children's Hospital, Randwick, NSW, Australia.

出版信息

Orphanet J Rare Dis. 2024 Oct 11;19(1):377. doi: 10.1186/s13023-024-03397-2.

DOI:10.1186/s13023-024-03397-2
PMID:39394114
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11470639/
Abstract

Many people living with a rare disease (RD) face challenges accessing timely diagnosis and disease-specific specialist care. Early health-care challenges for people living with Epidermolysis Bullosa (EB), a rare genetic disease affecting 1:20,000 individuals, can begin in the antenatal period.People living with EB in Australia have access to a government funded disease specific antenatal education and support program through the National Epidermolysis Bullosa Dressing scheme (NEBDS). This article discusses two births involving families living with EB Simplex (EBS) in regional Australia. The education and support structures implemented by the NEBDS and clinical teams are discussed in line with the Australian National Strategic Action Plan for rare diseases, and includes access to genetic diagnosis, EB education, and complex care coordination.

摘要

许多患有罕见病的人在获得及时诊断和特定疾病专家治疗方面面临挑战。患有罕见遗传性疾病大疱性表皮松解症(EB)的人在产前阶段就可能面临早期医疗保健挑战,每 20,000 人中就有 1 人患病。澳大利亚的 EB 患者可以通过国家 EB 敷料计划(NEBDS)获得政府资助的特定疾病产前教育和支持计划。本文讨论了澳大利亚偏远地区两个 EB 单纯型(EBS)家庭的分娩案例。本文按照澳大利亚国家罕见病战略行动计划,讨论了 NEBDS 和临床团队实施的教育和支持结构,包括获得基因诊断、EB 教育和复杂护理协调的机会。

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Orphanet J Rare Dis. 2024 Oct 11;19(1):377. doi: 10.1186/s13023-024-03397-2.
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本文引用的文献

1
Neonatal epidermolysis bullosa: a clinical practice guideline.新生儿大疱性表皮松解症:临床实践指南。
Br J Dermatol. 2024 Apr 17;190(5):636-656. doi: 10.1093/bjd/ljae006.
2
Recommendations on pregnancy, childbirth and aftercare in epidermolysis bullosa: a consensus-based guideline.关于大疱性表皮松解症的妊娠、分娩和产后护理的建议:基于共识的指南。
Br J Dermatol. 2022 Apr;186(4):620-632. doi: 10.1111/bjd.20809. Epub 2021 Nov 25.
3
Practical management of epidermolysis bullosa: consensus clinical position statement from the European Reference Network for Rare Skin Diseases.大疱性表皮松解症的实用管理:来自罕见皮肤疾病欧洲参考网络的共识临床立场声明。
J Eur Acad Dermatol Venereol. 2021 Dec;35(12):2349-2360. doi: 10.1111/jdv.17629. Epub 2021 Sep 21.
4
Diagnosis and Care of the Newborn with Epidermolysis Bullosa.新生儿大疱性表皮松解症的诊断和护理。
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Psychosocial recommendations for the care of children and adults with epidermolysis bullosa and their family: evidence based guidelines.针对大疱性表皮松解症患儿及成人和其家庭的照护的社会心理建议:循证指南。
Orphanet J Rare Dis. 2019 Jun 11;14(1):133. doi: 10.1186/s13023-019-1086-5.
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Clinical practice guidelines for laboratory diagnosis of epidermolysis bullosa.大疱性表皮松解症实验室诊断临床实践指南。
Br J Dermatol. 2020 Mar;182(3):574-592. doi: 10.1111/bjd.18128. Epub 2019 Aug 9.
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Difficulties in the diagnosis and treatment of rare diseases according to the perceptions of patients, relatives and health care professionals.根据患者、家属和医护人员的认知看罕见病的诊断与治疗困难
Clinics (Sao Paulo). 2018;73:e68. doi: 10.6061/clinics/2018/e68. Epub 2018 Apr 5.
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Rare disease: a national survey of paediatricians' experiences and needs.罕见病:儿科医生经验与需求的全国性调查
BMJ Paediatr Open. 2017 Oct 5;1(1):e000172. doi: 10.1136/bmjpo-2017-000172. eCollection 2017.
9
Living with a rare disorder: a systematic review of the qualitative literature.与罕见疾病共存:对定性文献的系统综述
Mol Genet Genomic Med. 2017 Nov;5(6):758-773. doi: 10.1002/mgg3.315. Epub 2017 Jul 23.
10
The Supportive Care Needs of Parents With a Child With a Rare Disease: A Qualitative Descriptive Study.患有罕见病儿童的父母的支持性护理需求:一项质性描述性研究。
J Pediatr Nurs. 2016 May-Jun;31(3):e207-18. doi: 10.1016/j.pedn.2015.10.022. Epub 2015 Dec 2.