title: Sporadic dystrophic epidermolysis bullosa with concomitant atopic dermatitis.
abstract: We describe a patient with sporadic dystrophic epidermolysis bullosa associated with well-documented atopic dermatitis. We discuss this case in relation to a newly described clinical subtype of epidermolysis bullosa known as epidermolysis bullosa pruriginosa, a dystrophic variant associated with prominent pruritus. The relations of this case of sporadic dystrophic epidermolysis bullosa with other dominantly inherited forms of dystrophic epidermolysis bullosa such as the Pasini variant, the pretibial variant, and Bart's syndrome are also discussed. The role of atopic dermatitis in exacerbating dystrophic epidermolysis bullosa in this patient raises an important consideration in the care of this group of patients.
authors.affiliation: Department of Dermatology, Northwestern University Medical School, Chicago, IL 60611, USA.
authors.forename: P
authors.initials: P
authors.lastname: Lapinski
authors.forename: J C
authors.initials: JC
authors.lastname: Lapiere
authors.forename: T
authors.initials: T
authors.lastname: Traczyk
authors.forename: L S
authors.initials: LS
authors.lastname: Chan
mesh_terms: D000328:Adult; D003094:Collagen / Q000032:analysis; D003876:Dermatitis, Atopic / Q000150:complications* / Q000473:pathology; D016108:Epidermolysis Bullosa Dystrophica / Q000150:complications* / Q000473:pathology; D019085:Fluorescent Antibody Technique, Direct; D019084:Fluorescent Antibody Technique, Indirect; D006229:Hand Dermatoses / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D008854:Microscopy, Electron; D012867:Skin / Q000473:pathology / Q000648:ultrastructure
chemical_list: D003094:Collagen