Infancy is an especially difficult
time for Epidermolysis Bullosa (EB) patients. Generalized blistering caused by
any subtype may be complicated by infection, sepsis, and death. Severe forms of
Epidermolysis Bullosa (EB) increase the mortality risk during infancy. Patients
with the Herlitz or letalis form of Junctional Epidermolysis Bullosa [JEB] have
the highest risk during infancy with an estimated mortality rate of 87% during
the first year of life. The patients with Epidermolysis Bullosa (EB) who
survive childhood, the most common cause of death for them is metastatic squamous
cell carcinoma (SCC):
Recessively inherited dystrophic Epidermolysis Bullosa (EB),
squamous cell carcinoma (SCC)
This skin cancer occurs
specifically in patients with recessively inherited Epidermolysis Bullosa (EB) who
most commonly are aged 15-35 years. In contrast, dominantly inherited Epidermolysis Bullosa Simplex [EBS] and Dystrophic Epidermolysis Bullosa [DEB] and milder
forms of Junctional Epidermolysis Bullosa [JEB] may not affect a patient's life
expectancy adversely.
One study reported that from
1979-2002, the overall age-adjusted annual mortality annual mortality rate from
bullous skin diseases 0.103 death per 100,000 population (2000 US standard
population).
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