Child with recessive dystrophic epidermolysis bullosa shows | Figure 1
CincyKidsRad
Cincinnati Children's Radiology
Child with recessive dystrophic epidermolysis bullosa shows a sock deformity of the toes
Radiographs of the foot in a child with recessive dystrophic epidermolysis bullosa shows a sock deformity of the toes. Patients with this severe form of epidermolysis bullosa have repeated skin injuries which leads to epithelialization and scar formation causing the mitten configuration of the hands and sock configuration of the feet. Epidermolysis bullosa is caused by the decreased or absent collagen within the skin.
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This girl from Guatemala has #dystrophic-epidermolysis-bullosa and cleanliness is crucial as there is a high risk of infection. The water available to her is untreated and usually contaminated. Her family has no bathroom so she is washed by her mother using a washcloth and pail while sitting on a stool. Her skin is dressed using the dressings donated by AmeriCares. Vaseline or hydrocerin is used to keep the dressings from sticking and pulling off more skin. When the dressing supplies run out, her family use strips of newspaper.
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