Differential Diagnosis > Morphology > Reaction Patterns > Vesicobullous > Vesicles/Pustules in the Newborn > Epidermolysis Bullosa

Epidermolysis Bullosa

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•AKA mechanobullous disorders
•“epidermolysis” is a misnomer because  the dystrophic forms have “dermolysis” (with a normal epidermis)

 

EB simplex: (intraepidermal split; autosomal dominant)

•localized (hand and foot): Weber-Cockayne
•generalized: Köbner

 

Junctional EB: lamina lucida split (with atrophy; autosomal recessive)

•Lethal (gravis, Herlitz)
•Nonlethal (mitis, non-Herlitz, GABEB)

 

Dystrophic EB: sub-lamina densa split (with scarring)

•autosomal recessive (most severe)
•autosomal dominant

 

 

disease:

 

EBS

 

junctional EB

•lethal EB (Herlitz)
•EB with pyloric atresia
•GABEB
•EB with muscular dystrophy

 

dystrophic EB

 

mutation:

 

keratin 5,14

 

laminin 5

•laminin 5
•α6β4 integrin
•BP180 antigen
•plectin

 

type VII collagen