He has seen paediatricians and dermatologists but his condition did not improve.
The child looks fretful. Superficial erosions with crusts were mainly noted on his hands and feet. A superficial bulla 0.5 x 0.5 cm was present on the left index finger. Mucosa of the lips appeared eroded. These was no nail involvement.
Do you see this condition? How do you manage this in your institution? I guess this will be a tough management problem for the child and the family.
Our pediatric dermatologists can help with management suggestions.
Definitive diagnosis can be obtained with biopsy. In the past, electron microscopy was utilized, but there may be simpler studies.
Note: At an appropriate time, if the diagnosis is more certain, the parents might want to visit the DEBRA site. There is a resources in Malaysian, in addition: DebraMalaysia.
1. Recessive Dystrophic Epidermolysis Bullosa