About Epidermolysis Bullosa

Disease Management

applying moisturizer
trimming fingernails
soft shoes

Are There Ways to Prevent or Lessen the Severity of EBS?

It is not possible to prevent epidermolysis bullosa simplex. These steps may help reduce blistering and infections.

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    Adapt activities

    Tailor activities for young children to minimize trauma to their skin while still being active. Encourage engagement in age-appropriate learning and social activities.

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    Take special care with the diaper area

    Remove elastic banding from diapers and avoid wipes in favor of soft washcloths. Nonstick dressings or zinc oxide paste can help prevent the diaper from sticking to the skin.

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    Moisturize the skin

    As needed throughout the day gently apply moisturizer.

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    Trim fingernails

    Regularly trimming the child’s fingernails helps reduce skin damage from scratching.

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    Add padding to hard surfaces

    Adding foam or thick towels to the car seat, bathtub, and highchair helps reduce the risk of injury.

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    Handle gently

    Holding and cuddling are essential but be very gentle. When picking up a child with EB place a soft material underneath them and lift giving support under the buttocks and behind the neck. Avoid lifting them under the arms.

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    Cool environment

    Keep the temperature of your home at a cool and consistent temperature.

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    Soft clothing

    Stick to soft clothing that is easy to take on and off. Remove labels and turn clothes seam side out to reduce skin irritation and scratching. Padding can be sewn into pressure point areas like knees, elbows. Special soft shoes can be worn when possible.

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    Find and encourage activities that keep your child active

    With age encourage activities such as swimming, that decrease the risk of skin injury. Children with mild epidermolysis bullosa can wear long pants and sleeves during outdoor activities to protect the skin.

  • recommendation-icon
    Adapt activities

    Tailor activities for young children to minimize trauma to their skin while still being active. Encourage engagement in age-appropriate learning and social activities.

  • recommendation-icon
    Handle gently

    Holding and cuddling are essential but be very gentle. When picking up a child with EB place a soft material underneath them and lift giving support under the buttocks and behind the neck. Avoid lifting them under the arms.

  • recommendation-icon
    Take special care with the diaper area

    Remove elastic banding from diapers and avoid wipes in favor of soft washcloths. Nonstick dressings or zinc oxide paste can help prevent the diaper from sticking to the skin.

  • recommendation-icon
    Cool environment

    Keep the temperature of your home at a cool and consistent temperature.

  • recommendation-icon
    Moisturize the skin

    As needed throughout the day gently apply moisturizer.

  • recommendation-icon
    Soft clothing

    Stick to soft clothing that is easy to take on and off. Remove labels and turn clothes seam side out to reduce skin irritation and scratching. Padding can be sewn into pressure point areas like knees, elbows. Special soft shoes can be worn when possible.

  • recommendation-icon
    Trim fingernails

    Regularly trimming the child’s fingernails helps reduce skin damage from scratching.

  • recommendation-icon
    Find and encourage activities that keep your child active

    With age encourage activities such as swimming, that decrease the risk of skin injury. Children with mild epidermolysis bullosa can wear long pants and sleeves during outdoor activities to protect the skin.

  • recommendation-icon
    Add padding to hard surfaces

    Adding foam or thick towels to the car seat, bathtub, and highchair helps reduce the risk of injury.

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What about Nutrition and Podiatric Care?

Work with you or your child’s medical professional EB team to manage nutritional and podiatric care.

Age-appropriate nutritional and podiatric support may include:

  • Management of dehydration and electrolyte disturbances.
  • Gastrostomy tubes may be required to treat or prevent failure to thrive in neonates, infants, and children with intermediate EBS or severe EBS.1
  • Vitamin and mineral supplementation, dietary modifications with nutrient rich feeds.2
  • Feeding modifications to reduce damage to the oral mucosa during breastfeeding. Soft and pureed foods and working with a feeding therapist if there is severe oral involvement.2
  • Anemia can be treated with iron supplements.
  • Maintain physical activity to prevent excess weight gain.
  • Comfortable and supportive footwear with orthotics or insoles, socks to wick moisture and reduce friction.
  • Physical therapy.
  • Debridement of plantar keratoderma.

References arrow-up arrow-down

  1. Has C. Advances in understanding the molecular basis of skin fragility. F1000Research. 2018;7:279. doi:10.12688/f1000research.12658.1
  2. Sybert VP, Holbrook KA. Prenatal Diagnosis and Genetic Screening for Epidermolysis Bullosa. In: Lin AN, Carter DM, eds. Epidermolysis Bullosa: Basic and Clinical Aspects. Springer; 1992:235-251. doi:10.1007/978-1-4612-2914-8_19
  3. Yiasemides E, Walton J, Marr P, Villanueva EV, Murrell DF. A Comparative Study Between Transmission Electron Microscopy and Immunofluorescence Mapping in the Diagnosis of Epidermolysis Bullosa. Am J Dermatopathol. 2006;28(5):387-394. doi:10.1097/01.dad.0000211510.44865.6d