Document Detail

Surgical restoration of the hand in epidermolysis bullosa.
MedLine Citation:
PMID:  3284475     Owner:  NLM     Status:  MEDLINE    
The extremities are affected by epidermolysis bullosa with blistering, scarring, and joint contractures. The hands are particularly vulnerable because of contact and shearing forces. Repeated cycles of blistering and scarring result in gradual encasement of the hand by an epidermal "cocoon." This article reviews the treatment approaches to loss of motion and independent digital function in the hands of several juvenile patients. All experienced an increase in joint motion and enhanced function as a surgical outcome of epidermal "degloving." Indications for surgery, preoperative planning, and postoperative care are discussed.
J L Greider; A E Flatt
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of dermatology     Volume:  124     ISSN:  0003-987X     ISO Abbreviation:  Arch Dermatol     Publication Date:  1988 May 
Date Detail:
Created Date:  1988-06-09     Completed Date:  1988-06-09     Revised Date:  2008-03-17    
Medline Journal Info:
Nlm Unique ID:  0372433     Medline TA:  Arch Dermatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  765-7     Citation Subset:  AIM; IM    
Southeastern Hand Center, Jacksonville, Fla.
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MeSH Terms
Child, Preschool
Epidermolysis Bullosa / complications,  surgery*
Hand Deformities, Acquired / etiology,  surgery*
Skin Transplantation

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