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Epidermolysis Bullosa: medical, physical and emotional challenges

Epidermólisis Bullosa: desafíos médicos, físicos y emocionales



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Epidermolysis Bullosa: medical, physical and emotional challenges. (2024). NOVA, 22(42). https://doi.org/10.22490/24629448.8200

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NOVA by http://www.unicolmayor.edu.co/publicaciones/index.php/nova is distributed under a license creative commons non comertial-atribution-withoutderive 4.0 international.

Furthermore, the authors keep their property intellectual rights over the articles.

 

Introduction: Epidermolysis Bullosa, also known as "Butterfly Skin", is a “rare and orphan” autoimmune disease that affects the genetic structure of the epidermis, causing the formation of blisters and skin retractions. People who suffer from it, most of the time, suffer from rejection and isolation.

Objective: Design an information booklet on Epidermolysis Bullosa for the basic education educational community of the department of Boyacá.

Materials and methods: Qualitative approach study, descriptive, interpretive and analytical in nature that followed the parameters of the PRISMA (2020) systematic reviews. It was developed in 3 stages. 1. Bibliographic search in open access databases such as Scielo, Scopus, Dialnet and Redalyc, among others, with search equations. 2. Systematization of more than 70 articles. 3. Selection of information to fulfill the objective.

Results: Research seeks ways to relieve symptoms and prevent complications. For its treatment, a multidisciplinary approach is necessary that includes dermatologists, psychologists, physiotherapists and nutritionists, among other health professionals, as well as education, to address the physical and emotional challenges that patients face, especially in the early years.

Conclusions: The challenges focus on early diagnosis, a fundamental aspect for the initiation of treatment; and health strategies aimed at the care and control of the disease. It is necessary for school communities to inform themselves, not to stigmatize and isolate those who suffer from it; From the psychological aspects, support for both those affected and their families is essential.


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  1. Vázquez, M. A., Santiesteban, R. E., & Ferrer, Y. I. (2021). Epidermólisis ampollosa o bullosa congénita. Actualización clínica. Revista Finlay, 11(1). http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2221-24342021000100074
  2. Junta de Andalucía. (2009). Guía de práctica clínica para el cuidado de la piel y mucosas en personas con epidermólisis bullosa. En Servicio Andaluz de Salud. https://portal.guiasalud.es/wp-content/uploads/2018/12/GPC_450_EB.pdf
  3. Centro de Información Genética y de Enfermedades Raras. (2019). Epidermólisis ampollosa. Centro Nacional para el Avance de las Ciencias Traslacionales. https://rarediseases.info.nih.gov/espanol/12000/epidermolisis-ampollosa
  4. Academia Española de Dermatología y Venereología. (2021). Guía para pacientes con epidermólisis bullosa. Academia Española de Dermatología y Venereología. https://aedv.es/wp-content/uploads/2021/02/Gui%CC%81a-epidermo%CC%81lisis- bullosa-VF.pdf
  5. Wakap, S., Lambert, D., Olry, A., Rodwell, C., Gueydan, C., Lanneau, V., Murphy, D., Cam, Y., Rath, A. (2020). Estimating cumulative point prevalence of rare diseases: analysis of the Orphanet database. Eur J Hum Genet 28, 165-173. https://doi.org/10.1038/s41431-019-0508-0
  6. Bardín, L. (2002). Análisis de contenido. Madrid: Akal.
  7. Hernández-Barbosa, R (2017). El contexto cultural en las prácticas educativas de profesores de ciencias del sector rural: perspectivas para el modelo de formación por cambio didáctico. [Tesis Doctoral]. Universidad Distrital francisco José de Caldas.
  8. Ruiz, J. (2009). metodología de la investigación cualitativa. [4 ed.]. Bilbao:
  9. Estrada, J., Caro, I., Tibaduiza, Y., Sánchez, Z., (2022). Epidermólisis bullosa: presentación de un caso. Rev. Med vol.29 no.2 Bogotá. https://doi.org/10.18359/rmed.5612
  10. DEBRA, (2019). Hace una década toma el reto en atención a Pacientes con Piel de Mariposa. https://debracolombia.org/debra-colombia-hace-una-decada-toma-el-reto-en-atencion-pacientes-con-piel-de-mariposa-felicidades/
  11. Araiza, M. I., Gris, J., Piña, M. J., Cadena, J. F., Teja, E., Varón, D., & García, M. T. (2020). Epidermolisis ampollosa en niños: un estudio retrospectivo en un hospital de referencia. Revista Médica Del Instituto Mexicano Del Seguro Social, 58(5). https://www.redalyc.org/journal/4577/457768466007/html/
  12. Diniz, AB; Vieira, L. Epidermólisis ampollosa (1995). Enfermería. Rev. Tec. Enferm , v.8, n.94, p.16-20. https://interface.org.br/wp-content/uploads/2015/01/v-9-n-16-set-2004-fev-2005.pdf
  13. DEBRA, (2020). Introducción a la epidermólisis bullosa. https://www.pieldemariposa.es/introduccion-a-la-epidermolisis-bullosa/
  14. Silva, K., Fernandes L., Oliveira, M., Braga, T., Silva, K. (2020). Desafíos de cuidadores familiares de crianças e adolescentes com Epidermólise Bolhosa. https://pesquisa.bvsalud.org/portal/resource/pt/biblio-1121475
  15. DEBRA, (2023). Piel de mariposa, una enfermedad rara que requiere abordaje integral. https://debracolombia.org/piel-de-mariposa-una-enfermedad-rara-que-requiere-abordaje-integral/#_ftnref2
  16. Laimer, M., Prodinger, C., & Bauer, J. (2015). Hereditary epidermolysis bullosa. Journal Der Deutschen Dermatologischen Gesellschaft, 13(11), 1125–1133. https://doi.org/10.1111/ddg.12774
  17. Vázquez, M. A., Santiesteban, R. E., & Ferrer, Y. I. (2021). Epidermólisis ampollosa o bullosa congénita. Actualización clínica. Revista Finlay, 11(1). http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2221-24342021000100074
  18. Hernández, A., & Torrelo, A. (2010). Epidermólisis ampollosas hereditarias: del diagnóstico a la realidad. Actas Dermo-Sifiliográficas, 101(6), 495–505. https://doi.org/10.1016/j.ad.2010.03.002
  19. Gonçalves, N., Balestra, C., Monique D., Brosso, L., Levada, A., Cavicchioli, A. (2022). School inclusion of children and adolescents with epidermolysis bullosa: The mothers’ perspective. DA ESCOLA DE ENFERMAGEM DA USP. Brasil. https://doi.org/10.1590/1980-220X-REEUSP-2022-0271en
  20. Fine, J.D., Bruckner, L., Eady, R., Bauer, E., Bauer, J., Has, C., Heagerty, A., Hintner, H., Hovnanian, A., Jonkman, M.F., Leigh, I., Marinkovich, M.P., Martinez, A.E., McGrath, J.A., Mellerio, J.E., Moss, C., Murrell, D.F., Shimizu, H., Uitto, J., Woodley, D., Zambruno, G. (2014). Inherited epidermolysis bullosa: Updated recommendations on diagnosis and classification.https://www.scopus.com/record/display.uri?eid=2-s2.0-84901242657&origin=inward&txGid=63263741080f8a63c5a086d76f5f2b4b
  21. Maseda, R., Quintana, L., Pérez, I., Jiménez, M., Escámez, M., Lucas, R. (2021). Epidermólisis bullosa en España: Estudio observacional de una cohorte de pacientes atendidos en un centro de referencia nacional. https://doi.org/10.1016/j.ad.2021.04.006
  22. Laimer M, Bauer J, Murrell DF. (2017). Epidemiology, pathogenesis, classification and clinical features of epidermolysis bullosa. https://www.uptodate.com/contents/epidermolysis-bullosa-epidemiology-pathogenesis-classification-and-clinical-features
  23. Mayoclinic, (2022). Ampollas en EB simple [Fotografía]. https://www.mayoclinic.org/es/diseases-conditions/epidermolysis-bullosa/symptoms-causes/syc-20361062
  24. Yamakawa, V., Oliveira, B., Santos, M., Follador, I., Sales, E., Dantas, P., Pedreira, V. (2013). Inherited epidermolysis bullosa: clinical and therapeutic aspects. https://doi.org/10.1590/S0365-05962013000200001
  25. Sawamura D, Nakano H, Matsuzaki Y. (2010). Overview of epidermolysis bullosa. J Dermatol 37:214-219. https://doi.org/10.1111/j.1346-8138.2009.00800.x
  26. Mitsuhashi, Y., Hashimoto, I. (2003). Anomalías genéticas y clasificación clínica de la epidermólisis ampollosa. Arch Dermatol R. 295:S29-33.
  27. MedlinePlus, (2022). Ampollas en EB distrófica [Fotografía]. https://medlineplus.gov/spanish/ency/esp_imagepages/2405.htm
  28. M. Aumailley, C. Has, L. Tunggal, L. Bruckner-Tuderman. (2006). Molecular basis of inherited skin-blistering disorders, and therapeutic implications. Expert Rev Mol Med, 8 pp. 1-21. http://dx.doi.org/10.1017/S1462399406000196
  29. Siañez, C., Pezoa, R., Salas, J. (2009). EPIDERMÓLISIS ampollosa congénita: revisión del tema. https://www.actasdermo.org/es-epidermolisis-ampollosa-congenita-revision-del-articulo-S0001731009729126
  30. Torres, R., Palomo, P., Torres, G., Lipa, R. (2017). Rev. perú. med. exp. salud publica vol.34 no.2 Lima. http://dx.doi.org/10.17843/rpmesp.2017.342.2484
  31. García, M., Becerril, J., Dabdoud, A. (2019). Epidermólisis ampollosa: análisis de costo de la atención médica en México. Med. interna Méx. vol.35 no.1 Ciudad de México. https://doi.org/10.24245/mim.v35i1.2166
  32. Haynes L. (2010). Nutrition for children with epidermolysis bullosa. Dermatol Clin. 28(2):289301. https://doi.org/10.1016/j.det.2010.01.010
  33. Ludwig, R. J. (2013). Clinical Presentation, Pathogenesis, Diagnosis, and Treatment of Epidermolysis Bullosa Acquisita. ISRN Dermatology (Print), 2013, 1–25. https://doi.org/10.1155/2013/812029
  34. Intong, L. R., & Murrell, D. F. (2012). Inherited epidermolysis bullosa: New diagnostic criteria and classification. Clinics in Dermatology, 30(1), 70–77. https://doi.org/10.1016/j.clindermatol.2011.03.012
  35. Has, C., & He, Y. (2016). Research Techniques Made Simple: Immunofluorescence Antigen Mapping in Epidermolysis Bullosa. Journal of Investigative Dermatology, 136(7), e65–e71. https://doi.org/10.1016/j.jid.2016.05.093
  36. Vorobyev, A., Ludwig, R. J., & Schmidt, E. (2016). Clinical features and diagnosis of epidermolysis bullosa acquisita. Expert Review of Clinical Immunology, 13(2), 157–169. https://doi.org/10.1080/1744666x.2016.1221343
  37. Fine, J. D., Johnson, L., Weiner, M., & Suchindran, C. (2008). Gastrointestinal Complications of Inherited Epidermolysis Bullosa: Cumulative Experience of the National Epidermolysis Bullosa Registry. Journal of Pediatric Gastroenterology and Nutrition, 46(2), 147–158. https://doi.org/10.1097/mpg.0b013e31812f5667
  38. Pohla, G., & Hintner, H. (2011). Direct and Indirect Immunofluorescence for the Diagnosis of Bullous Autoimmune Diseases. Dermatologic Clinics, 29(3), 365–372. https://doi.org/10.1016/j.det.2011.03.001
  39. Shinkuma, S. (2015). Dystrophic epidermolysis bullosa: a review. Clinical, Cosmetic and Investigational Dermatology, 275. https://doi.org/10.2147/ccid.s54681
  40. Trujillo, M. J. (2019). Diagnóstico prenatal y diagnostico pre-implantacional en Epidermolisis bullosa. DEBRA. https://www.pieldemariposa.es/wp-content/uploads/2019/03/Diagnostico-prenatal-y-diagnostico-pre_implantacional-EB.pdf
  41. D’Alessio, M., Zambruno, G., Charlesworth, A., Lacour, J., & Meneguzzi, G. (2008). Immunofluorescence Analysis of Villous Trophoblasts: A Tool for Prenatal Diagnosis of Inherited Epidermolysis Bullosa with Pyloric Atresia. Journal of Investigative Dermatology, 128(12), 2815–2819. https://doi.org/10.1038/jid.2008.143
  42. Manomy, P. Yenamandra, V., Dabas, G., Joshi, P., Ambekar, A., Sreenivas, V., Sharma, V., Vatsa, M., Ravindran, S., Sethuraman, G. (2021). Impact of a Psychodermatological Education Package on the Subjective Distress, Family Burden, and Quality of Life among the Primary Caregivers of Children Affected with Epidermolysis Bullosa. Indian Dermatology Online Journal. India. https://doi.org/10.4103/idoj.idoj_658_19
  43. Lim, K., McEvoy, M., Pittelkow, S. (1996). Generalized gravis junctional epidermolysis bullosa: case report, laboratory evaluation, and review of recent advances. https://pubmed.ncbi.nlm.nih.gov/8790263/
  44. Sangha N, MacLellan AN, Pope E. (2021). Impacto psicosocial de la epidermólisis ampollosa en los pacientes: un estudio cualitativo. Pediatr Dermatol. 38(4):819-24. http://dx.doi.org/10.1111/pde.14656
  45. Prodinger C, Reichelt J, Bauer JW, Laimer M. (2019). Epidermolysis bullosa: advances in research and treatment. Exp Dermatol. 28(10):1176-89. https://doi.org/10.1111/exd.13979
  46. Miyamoto, D., Gordilho, J. O., Santi, C. G., & Porro, A. M. (2022). Epidermolysis bullosa acquisita. Anais Brasileiros De Dermatologia, 97(4), 409–423. https://doi.org/10.1016/j.abd.2021.09.010
  47. Vidal, G., Carrau, F., Lizarraga, M., & Álvarez, M. (2018). Epidermólisis ampollar: a propósito de un caso clínico. Archivos De Pediatría Del Uruguay, 89(6), 382–388. https://doi.org/10.31134/ap.89.6.4
  48. Santana, J. D., Zamora, R., Vázquez, G., & López, A. (2021). Epidermólisis ampollosa, reporte de un caso. Universidad Médica Pinareña, 17(2). https://dialnet.unirioja.es/servlet/articulo?codigo=8198597
  49. Hernández, R., Morales, M., & Castro, J. A. (2021). Rehabilitación domiciliaria de la epidermólisis bullosa. Medicentro Electrónica, 15(1). http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30432021000100126
  50. Raspini, M., & Manrique, M. L. (2013). Estado nutricional en pacientes con Epidermilósis Bullosa. Universidad FASTA. http://redi.ufasta.edu.ar:8082/jspui/handle/123456789/3266
  51. Vázquez, J. J. (2012). Eficacia del tratamiento con piel quimérica cultivada de las lesiones cutáneas en pacientes con epidermólisis bullosa distrófica recesiva [Tesis Doctoral]. Universidad Autónoma de Madrid.
  52. Biasutto, M., Martínez, M. F. R., Angles, M. V., & Mazzuoccolo, L. D. (2023). Nuevos tratamientos para el manejo de la epidermólisis ampollar. Dermatología Argentina, 29(1), 02–08. https://doi.org/10.47196/da.v29i1.2312
  53. Butterworth, S., Mason, A. E., & Martin, K. (2019). Epidermolysis bullosa: how social support affects quality of life. Tiempos De Enfermería, 115(5). https://chesterrep.openrepository.com/handle/10034/622253
  54. Chogani, F., Parvizi, M. M., Murrell, D. F., & Handjani, F. (2021). Assessing the quality of life in the families of patients with epidermolysis bullosa: The mothers as main caregivers. International Journal of Women’s Dermatology, 7(5), 721–726. https://doi.org/10.1016/j.ijwd.2021.08.007
  55. Angelis, A., Kanavos, P., López-Bastida, J., Linertová, R., Oliva-Moreno, J., Serrano-Aguilar, P., De La Paz, M. P., Taruscio, D., Schieppati, A., Iskrov, G., Brodszky, V., Von Der Schulenburg, J. G., Chevreul, K., Persson, U., & Fattore, G. (2016). Social/economic costs and health-related quality of life in patients with epidermolysis bullosa in Europe. European Journal of Health Economics, 17(S1), 31–42. https://doi.org/10.1007/s10198-016-0783-4
  56. Chateau, A., Blackbeard, D., & Aldous, C. (2022). The impact of epidermolysis bullosa on the family and healthcare practitioners: a scoping review. International Journal of Dermatology, 62(4), 459–475. https://doi.org/10.1111/ijd.16197
  57. Bruckner, A. L., Losow, M., Wisk, J., Patel, N., Reha, A., Lagast, H., Gault, J., Gershkowitz, J., Kopelan, B., Hund, M., & Murrell, D. F. (2020). The challenges of living with and managing epidermolysis bullosa: insights from patients and caregivers. Orphanet Journal of Rare Diseases, 15(1). https://doi.org/10.1186/s13023-019-1279-y
  58. Fernández AS, Tobajas MET, López MGJ. (2018). Educación sanitaria para enfermería sobre la epidermólisis bullosa. Rev Rol Enferm. 41(2):135-8. https://medes.com/publication/133944
  59. Silva RA, Souza SPS, Bernardino FBS, Alencastro LCS. (2020). Atención familiar a niños y adolescentes con epidermólisis ampollosa: una revisión integradora de la literatura. Rev Baiana Enferm. 34. doi: http://dx.doi.org/10.18471/rbe.v34.35781
  60. Gorell, E., Wolstencroft, P., (2020). Financial burden of epidermolysis bullosa on patients in the United States. https://doi.org/10.1111/pde.14340
  61. Constitución de la República Federativa del Brasil de 1988. Diario Oficial de la Unión; Brasilia; 05 oct. 1988. 191-A. https://www.acnur.org/fileadmin/Documentos/BDL/2001/0507.pdf
  62. Bronfenbrenner U. (2011). La ecología del desarrollo humano: hacer a los seres humanos más humanos. Porto Alegre: ArtMed. https://bibliotecadigital.mineduc.cl/handle/20.500.12365/18032
  63. Andreoli E, Mozzetta A, Angelo C, Paradisi M, Foglio PG. (2002). Epidermolysis bullosa. Psychological and psychosocial aspects. Dermatol Psychosom. 3:77-81. http://dx.doi.org/10.1159/000064496
  64. Bello, Y., Falabella, A., Schachner, L. (2003). Management of epidermolysis bullosa in infants and children. https://doi.org/10.1016/S0738-081X(03)00050-6
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