title: Pretibial epidermolysis bullosa: is this case a new subtype with loss of types IV and VII collagen?
abstract: Pretibial epidermolysis bullosa (PEB) is an extremely rare subtype of dominant dystrophic epidermolysis bullosa (DDEB), in which recurrent blistering with scarring predominantly involves the pretibial skin. Nail dystrophy, albopapuloid lesions, and hypertrophic scars may also occur. In PEB, immunohistochemical and electron microscopic studies demonstrate the complete or partial loss of the anchoring fibril (AF) in the basement membrane zone, suggesting disturbed synthesis or excessive degradation of collagen VII, the main component of AF. Interestingly, we report a case of PEB with unusual results of joint loss of types IV and VII collagen.
authors: Department of Dermatology, College of Medicine, Eulji University, Seoul, South Korea.
authors: Hong-sun
authors: HS
authors: Lee
authors: Kun
authors: K
authors: Park
authors: Sook-ja
authors: SJ
authors: Son
authors: Kye-yong
authors: KY
authors: Song
authors: Seong Eon
authors: SE
authors: Kim
mesh_terms: D001706:Biopsy; D024141:Collagen Type IV / Q000235:genetics* / Q000378:metabolism; D024143:Collagen Type VII / Q000235:genetics* / Q000378:metabolism; D004820:Epidermolysis Bullosa / Q000145:classification / Q000235:genetics / Q000473:pathology; D019085:Fluorescent Antibody Technique, Direct; D006801:Humans; D008297:Male; D046529:Microscopy, Electron, Transmission; D009262:Nails / Q000473:pathology; D012867:Skin / Q000473:pathology / Q000648:ultrastructure; D013977:Tibia; D055815:Young Adult
chemical_list: D024141:Collagen Type IV; D024143:Collagen Type VII