Response of intractable skin ulcers in recessive dystrophic epidermolysis bullosa patients to an allogeneic cultured dermal substitute.

Abstract:

:Recessive dystrophic epidermolysis bullosa (RDEB) is an inherited skin disorder caused by mutations in the COL7A1 gene, which encodes collagen VII (COL7). Skin ulcers in RDEB patients are sometimes slow to heal. We describe here the therapeutic response of intractable skin ulcers in two patients with generalized RDEB to treatment with an allogeneic cultured dermal substitute (CDS). Skin ulcers in both patients epithelialized by 3-4 weeks after this treatment. Immunohistochemical studies demonstrated that the COL7 expression level remained reduced with respect to the control skin and that it did not differ significantly between graft-treated and untreated areas. Electron microscopy showed aberrant anchoring fibrils beneath the lamina densa of both specimens. In conclusion, CDS is a promising modality for treatment of intractable skin ulcers in patients with RDEB, even though it does not appear to increase COL7 expression.

journal_name

Acta Derm Venereol

authors

Natsuga K,Sawamura D,Goto M,Homma E,Goto-Ohguchi Y,Aoyagi S,Akiyama M,Kuroyanagi Y,Shimizu H

doi

10.2340/00015555-0776

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

165-9

issue

2

eissn

0001-5555

issn

1651-2057

journal_volume

90

pub_type

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