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The mouth, oesophagus, and anus are often involved in dystrophic and junctional epidermolysis bullosa, but the frequency is unknown. Among 246 patients with epidermolysis bullosa, dysphagia developed in 76% of those with recessive dystrophic, in 20% of those with dominant dystrophic, in 15% of those with junctional, and in 2% of those with simplex forms. Lingual adhesions or microstomia occurred in dystrophic epidermolysis bullosa only, but were eight times more common in recessive than in dominant subtypes. These lesions are provoked by the trauma of eating and further reduce food intake, which exacerbates constipation caused by anal blisters and results in malnutrition. Management requires specialised multidisciplinary care.

Type

Journal article

Journal

Lancet

Publication Date

19/12/1992

Volume

340

Pages

1505 - 1506

Keywords

Adolescent, Adult, Child, Child, Preschool, Deglutition Disorders, Epidermolysis Bullosa, Gastrointestinal Diseases, Humans, Middle Aged, Mouth Diseases