Dystrophic epidermolysis bullosa

General Information (adopted from Orphanet):

Synonyms, Signs: DEB
Epidermolysis bullosa dystrophica
Dermolytic epidermolysis bullosa
Number of Symptoms 49
OrphanetNr: 303
OMIM Id:
ICD-10: Q81.2
UMLs:
MeSH:
MedDRA:
Snomed: 254185007

Prevalence, inheritance and age of onset:

Prevalence: No data available.
Inheritance: Autosomal dominant
Autosomal recessive
Not applicable
[Orphanet]
Age of onset: Neonatal
Infancy
[Orphanet]

Disease classification (adopted from Orphanet):

Parent Diseases: Inherited epidermolysis bullosa
 -Rare genetic disease
 -Rare skin disease
Malformation syndrome with skin/mucosae involvement
 -Rare developmental defect during embryogenesis
 -Rare genetic disease

Symptom Information: Sort by abundance 

1
(HPO:0100820) Glomerulopathy Occasional [Orphanet] 46 / 7739
2
(HPO:0100587) Abnormality of the preputium Occasional [Orphanet] 5 / 7739
3
(HPO:0000071) Ureteral stenosis Occasional [Orphanet] 9 / 7739
4
(HPO:0000083) Renal insufficiency Occasional [Orphanet] 232 / 7739
5
(HPO:0000100) Nephrotic syndrome Occasional [Orphanet] 83 / 7739
6
(HPO:0011037) Decreased urine output Occasional [Orphanet] 47 / 7739
7
(HPO:0000682) Abnormality of dental enamel Frequent [Orphanet] 102 / 7739
8
(HPO:0000492) Abnormality of the eyelid Occasional [Orphanet] 41 / 7739
9
(HPO:0000164) Abnormality of the teeth Frequent [Orphanet] 291 / 7739
10
(HPO:0100825) Cheilitis Very frequent [Orphanet] 20 / 7739
11
(HPO:0000221) Furrowed tongue Frequent [Orphanet] 24 / 7739
12
(HPO:0000670) Carious teeth Frequent [Orphanet] 145 / 7739
13
(HPO:0000498) Blepharitis Occasional [Orphanet] 27 / 7739
14
(HPO:0000632) Lacrimation abnormality Occasional [Orphanet] 42 / 7739
15
(HPO:0000481) Abnormality of the cornea Occasional [Orphanet] 124 / 7739
16
(HPO:0000389) Chronic otitis media Occasional [Orphanet] 64 / 7739
17
(HPO:0000365) Hearing impairment Occasional [Orphanet] 539 / 7739
18
(HPO:0002015) Dysphagia Frequent [Orphanet] 301 / 7739
19
(HPO:0001171) Split hand Frequent [Orphanet] 72 / 7739
20
(HPO:0001155) Abnormality of the hand Frequent [Orphanet] 54 / 7739
21
(HPO:0001770) Toe syndactyly Frequent [Orphanet] 149 / 7739
22
(HPO:0010161) Abnormality of the phalanges of the toes Frequent [Orphanet] 3 / 7739
23
(HPO:0006101) Finger syndactyly Frequent [Orphanet] 198 / 7739
24
(HPO:0001760) Abnormality of the foot Frequent [Orphanet] 96 / 7739
25
(HPO:0002575) Tracheoesophageal fistula Frequent [Orphanet] 54 / 7739
26
(HPO:0002024) Malabsorption Occasional [Orphanet] 142 / 7739
27
(HPO:0004378) Abnormality of the anus Occasional [Orphanet] 34 / 7739
28
(HPO:0002019) Constipation Frequent [Orphanet] 194 / 7739
29
(HPO:0004325) Decreased body weight Occasional [Orphanet] 492 / 7739
30
(HPO:0000987) Atypical scarring of skin Occasional [Orphanet] 58 / 7739
31
(HPO:0008069) Neoplasm of the skin Occasional [Orphanet] 84 / 7739
32
(HPO:0001597) Abnormality of the nail Very frequent [Orphanet] 115 / 7739
33
(HPO:0001804) Hypoplastic fingernail Frequent [Orphanet] 62 / 7739
34
(HPO:0001805) Thick nail Very frequent [Orphanet] 96 / 7739
35
(HPO:0000964) Eczema Occasional [Orphanet] 81 / 7739
36
(HPO:0200042) Skin ulcer Frequent [Orphanet] 138 / 7739
37
(HPO:0200037) Skin vesicle Very frequent [Orphanet] 102 / 7739
38
(HPO:0001053) Hypopigmented skin patches Frequent [Orphanet] 80 / 7739
39
(HPO:0008065) Aplasia/Hypoplasia of the skin Very frequent [Orphanet] 81 / 7739
40
(HPO:0001638) Cardiomyopathy Occasional [Orphanet] 192 / 7739
41
(HPO:0002140) Ischemic stroke Occasional [Orphanet] 70 / 7739
42
(HPO:0001635) Congestive heart failure Occasional [Orphanet] 232 / 7739
43
(HPO:0001903) Anemia Occasional [Orphanet] 289 / 7739
44
(HPO:0100758) Gangrene Frequent [Orphanet] 25 / 7739
45
(HPO:0002091) Restrictive ventilatory defect Occasional [Orphanet] 46 / 7739
46
(HPO:0001602) Laryngeal stenosis Frequent [Orphanet] 21 / 7739
47
(HPO:0002664) Neoplasm Frequent [Orphanet] 111 / 7739
48
(HPO:0100326) Immunologic hypersensitivity Occasional [Orphanet] 28 / 7739
49
(HPO:0030350) Erythematous papule Frequent [Orphanet] 123 / 7739

Associated genes:

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Diagnosis GeneReviews Dystrophic epidermolysis bullosa (DEB) includes three subtypes [Fine et al 2008]:...
Clinical Description GeneReviews Before the molecular basis of dystrophic epidermolysis bullosa (DEB) was understood, subtypes were identified (see Nomenclature) based primarily on clinical features, mode of inheritance, and the presence or absence of collagen VII and anchoring fibrils detected on skin biopsy. The current classification system includes the following three subtypes which are discussed below: recessive DEB, severe generalized; recessive DEB, generalized other; and dominant DEB [Fine et al 2008]....
Genotype-Phenotype Correlations GeneReviews Recessive DEB (RDEB)...
Differential Diagnosis GeneReviews The four major types of epidermolysis bullosa syndrome, caused by mutations in 13 different genes, are EB simplex (EBS), junctional EB (JEB), dystrophic EB (DEB), and Kindler syndrome. While agreement exists as to diagnostic criteria for some types of epidermolysis bullosa, the validity of rarer subtypes and their diagnostic criteria are disputed. See Dermatologic Clinics (vol 28, 2010) (Suggested Reading) for excellent clinical reviews and Fine et al [2008] for the revised classification system, published after the Third International Consensus Meeting on Diagnosis and Classification of EB....
Management GeneReviews In order to determine the extent of disease in an individual diagnosed with dystrophic epidermolysis bullosa (DEB), evaluation of the sites of blister formation including oral and esophageal blisters and erosions is recommended....
Molecular genetics GeneReviews Information in the Molecular Genetics and OMIM tables may differ from that elsewhere in the GeneReview: tables may contain more recent information. —ED....