Epidermolysis bullosa

Overview

Epidermolysis bullosa (ep-ih-dur-MOL-uh-sis buhl-LOE-sah) is a rare condition that causes fragile, blistering skin. The blisters may appear in response to minor injury, even from heat, rubbing or scratching. In severe cases, the blisters may occur inside the body, such as the lining of the mouth or stomach.

Epidermolysis bullosa is inherited, and it usually shows up in infants or young children. Some people don’t develop symptoms until they’re teens or young adults.

Epidermolysis bullosa has no cure, but mild forms may improve with age. Treatment focuses on caring for blisters and preventing new ones.

Symptoms

Epidermolysis bullosa symptoms include:

  • Fragile skin that blisters easily, especially on the palms and feet
  • Nails that are thick or unformed
  • Blisters inside the mouth and throat
  • Scalp blistering and hair loss (scarring alopecia)
  • Skin that looks thin
  • Tiny pimple-like bumps (milia)
  • Dental problems, such as tooth decay
  • Difficulty swallowing
  • Itchy, painful skin

Usually epidermolysis bullosa blisters are noticed during infancy. But it’s not uncommon for them to appear when a toddler first begins to walk or when an older child begins new activities that cause more friction on the soles of the feet.

When to see a doctor

Contact your health care provider if you or your child develops blisters for an unknown reason. For infants, severe blistering can be life-threatening.

Seek immediate medical care if you or your child:

  • Has problems swallowing
  • Has problems breathing
  • Shows signs of infection, such as warm, painful or swollen skin, pus, or an odor from a sore, and fever or chills

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