Inherited epidermolysis bullosa: New diagnostics and new clinical phenotypes

Exp Dermatol. 2019 Oct;28(10):1146-1152. doi: 10.1111/exd.13668. Epub 2018 Jun 28.

Abstract

Inherited epidermolysis bullosa (EB) is a group of heterogeneous genetic disorders characterized by skin fragility. EB comprises a large spectrum of phenotypes, ranging from severe cutaneous and extracutaneous involvement caused by lack of key adhesion proteins, to mild cutaneous fragility caused by subtle molecular defects. Disease-causing variants in 20 different genes account for the genetic and allelic heterogeneity of EB. Here, we discuss the development of laboratory methods that enabled these discoveries and the clinical and molecular features of some new EB entities elucidated during the past 5-6 years.

Keywords: blistering; epidermal adhesion; epidermolysis bullosa; genodermatosis; mutation.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Adaptor Proteins, Signal Transducing / genetics
  • Dystonin / genetics
  • Epidermolysis Bullosa / classification
  • Epidermolysis Bullosa / diagnosis
  • Epidermolysis Bullosa / genetics*
  • Epidermolysis Bullosa / pathology
  • Genetic Association Studies
  • High-Throughput Nucleotide Sequencing
  • Humans
  • Integrin alpha3 / genetics
  • Molecular Diagnostic Techniques
  • Phenotype
  • Plectin / genetics
  • Repressor Proteins / genetics
  • Tetraspanin 24 / genetics
  • Whole Genome Sequencing

Substances

  • Adaptor Proteins, Signal Transducing
  • CD151 protein, human
  • DST protein, human
  • Dystonin
  • EXPH5 protein, human
  • ITGA3 protein, human
  • Integrin alpha3
  • KLHL24 protein, human
  • PLEC protein, human
  • Plectin
  • Repressor Proteins
  • Tetraspanin 24