title: Epidermolysis bullosa simplex associated with muscular dystrophy and cardiac involvement.
abstract: We report a new clinical variant of epidermolysis bullosa simplex with muscular dystrophy (EBS-MD) that was associated with cardiac involvement. A 33-year-old patient had atrial fibrillation, pericardial effusion, and hypokinetic left ventricular cardiac walls. The muscle biopsy material revealed diffuse endomysial fibrosis and small atrophic muscle fibers with rounded contours. A positive desmin expression with abnormal localization in the subsarcolemmal groups was observed. We concluded that patients with EBS-MD should be investigated carefully when there are associated cardiac findings.
authors.affiliation: From the Departments of *Physical Medicine and Rehabilitation and daggerNeurology, Ankara Physical Medicine and Rehabilitation Education and Research Hospital, Ankara, Turkey; and the Departments of double daggerPathology and section signPhysical Medicine and Rehabilitation, Gazi University Medicine, School of Medicine, Ankara, Turkey.
authors.forename: Canan
authors.initials: C
authors.lastname: Celik
authors.forename: Hilmi
authors.initials: H
authors.lastname: Uysal
authors.forename: Aylin Okcu
authors.initials: AO
authors.lastname: Heper
authors.forename: Belgin
authors.initials: B
authors.lastname: Karaoglan