Epidermolysis bullosa: New and emerging trends

被引:32
作者
Pai S. [1 ,2 ]
Marinkovich M.P. [1 ,2 ]
机构
[1] Department of Dermatology, Stanford University School of Medicine, Stanford, CA 94305, RM 2145a, CCSR Building
[2] Palo Alto VA Medical Center, Palo Alto, CA
关键词
Laminin; Epidermolysis Bullosa; Lamina Densa; Basement Membrane Zone; Dystrophic Epidermolysis Bullosa;
D O I
10.2165/00128071-200203060-00001
中图分类号
学科分类号
摘要
Epidermolysis bullosa is a family of inherited blistering skin disorders characterized by blister formation in response to mechanical trauma. Major types of epidermolysis bullosa include epidermolysis bullosa simplex, hemidesmosomal epidermolysis bullosa, junctional epidermolysis bullosa, and dystrophic epidermolysis bullosa. Current treatment for epidermolysis bullosa consists of supportive care for skin and other organ systems and entails a combination of wound management, infection support for chronic wounds, surgical management as needed, nutritional support, and preventative screening for squamous cell carcinoma in recessive dystrophic epidermolysis bullosa. The regimen must be tailored specifically to the severity and extent of skin and systemic involvement in each case. Recent studies have identified specific protein and genetic abnormalities for most epidermolysis bullosa subtypes. These new advancements in the understanding of molecular pathophysiology have provided much of the basis for current efforts to develop effective gene and protein therapy for epidermolysis bullosa.
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页码:371 / 380
页数:9
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