Summary
We report a case of epidermolysis bullosa hereditaria dystrophica dominant with an extensive skin defect on the left lower extremity present at birth. This case is of interest in that the scar contracture and the growth retardation of the affected extremity were present at birth. A full-thickness skin graft including the subdermal vascular network was applied to the contracted foot under general anesthesia at the age of 2 months. The graft and the donor site healed uneventfully. Now, the child is 3 years and 9 months old and no scar contracture has recurred. The function of the foot is normal.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Anderl H, Weiser G (1972) The surgical treatment of pseudo-syndactyly in a case of epidermolysis bullosa dystrophica. Chir Plastica 1:143
Bart BJ, Gorlin RJ, Anderson VE, Lynch FW (1966) Congenital localized absence of skin and associated abnormalities resembling epidermolysis bullosa. Arch Dermatol 93:296
Bauer EA, Briggaman RA (1979) The mechanobullous diseases (epidermolysis bullosa). In: Fitzpatrick, Eisen, Wolff, Friedberg, Austin (eds) Dermatolgy in general medicine. Mc Grawhill, p 334
Crikelair GF, Hoehn RJ, Domonkos AN, Binkert B (1970) Skin homografts in epidermolysis bullosa dystrophica. Plast Reconstr Surg 46:89
Garland J (1929) Epidermolysis bullosa: Report of a case with lesion present at birth. JAMA 93:918
Haseda Y, Tsukada S, Miyanaga S, Okada T (1978) Epidermolysis bullosa dystrophica polysysplastica and surgical management. Jpn J Plast Recosntr Surg 21:222
Joensen HD (1973) Epidermolysis bullosa dystrophica dominant in two families in Faroe Islands. Acta Derm Venerol (Stockh) 53:53
Johnson JB (1954) Congenital skin defects. Report of three cases. J Int Coll Surg 21:599
Kubota Y, Norton ML, Goldenberg S, Robertazzi RW (1961) Anesthetic management of patients with epidermolysis bullosa undergoing surgery. Anesth Analg 40:244
Pearson RW (1962) Studies on the pathogenesis of epidermolysis bullosa. J Invest Dermatol 39:551
Reed WB, College JJ, Francis MJO, Zacharie H, Mohs F, Sher MA, Sneddon IB (1974) Epidermolysis bullosa dystrophica with epidermal neoplasms. Arch Dermatol 110:894
Rees TD, Swinyyard CA (1967) Rehabilitative digital surgery in epidermolysis bullosa. Plast Reconstr Surg 40:169
Somasundaram K, Prathap K (1970) Intra-uterine healing of skin wounds in rabbit foetuses. J Pathol 100:81
Somasundaram K, Prathap K (1972) The effect of excluding of amniotic fluid on intrauterine healing of skin wounds in rabbit foetuses. J Pathol 107:127
Tsukada S (1980) Transfer of free skin grafts with a preserved subcutaneous vascular network. Ann Plast Surg 4:500
Wechsler HL, Krugh FJ, Domonkos AN, Scheen SR, Davidson CL (1970) Polydysplastic epidermolysis bullosa and development of epidermal neoplasms. Arch Dermatol 102:374
Zarem HA, Pearson RW, Leaf N (1974) Surgical management of hand deformities in recessive dystrophic epidermolysis bullosa. Br J Plast Reconstr Surg 27:176
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Haseda, Y., Akahane, T. & Tsukada, S. Epidermolysis bullosa hereditaria dystrophica dominant with extensive skin defect at birth. Chir Plastica 7, 169–174 (1983). https://doi.org/10.1007/BF00571704
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00571704