Journal
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY
Volume 61, Issue 3, Pages 387-402Publisher
MOSBY-ELSEVIER
DOI: 10.1016/j.jaad.2009.03.053
Keywords
anemia; cancer; cardiomyopathy; carnitine deficiency; clinical; complications; dental; depression; epidermolysis bullosa; extracutaneous; muscular dystrophy; musculoskeletal; oral cavity; osteoporosis; psychosocial; sepsis; squamous cell carcinoma; teeth
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It is well known, primarily via case reports and limited case series, that nonepithelial tissues may become injured in patients with epidermolysis bullosa. Only recently, however, have there been data generated from large, well characterized cohorts. Our objective is to provide dermatologists with a comprehensive review of each of these major extracutaneous complications, with a summary of the pertinent literature and evidence-based recommendations for Surveillance, evaluation, and management. Some epidermolysis bullosa subtypes are at risk for severe injury of the bone marrow, musculoskeletal system, heart, kidney, and teeth, and for the development of squamous cell carcinoma, basal cell carcinoma, or malignant melanoma. If untreated, significant morbidity or mortality may result (J Am Acad Dermatol 2009;61:387-402.)
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