Publication

Junctional epidermolysis bullosa

Yuen, W. Y., 2012, Groningen: [s.n.]. 306 p.

Research output: ThesisThesis fully internal (DIV)

APA

Yuen, W. Y. (2012). Junctional epidermolysis bullosa. [s.n.].

Author

Yuen, Wing Yan. / Junctional epidermolysis bullosa. Groningen : [s.n.], 2012. 306 p.

Harvard

Yuen, WY 2012, 'Junctional epidermolysis bullosa', Doctor of Philosophy, University of Groningen, Groningen.

Standard

Junctional epidermolysis bullosa. / Yuen, Wing Yan.

Groningen : [s.n.], 2012. 306 p.

Research output: ThesisThesis fully internal (DIV)

Vancouver

Yuen WY. Junctional epidermolysis bullosa. Groningen: [s.n.], 2012. 306 p.


BibTeX

@phdthesis{5ae80ae2ba2a4ee5bd9fe061f26fb046,
title = "Junctional epidermolysis bullosa",
abstract = "They are called {"}Butterfly Children{"}, the patients with epidermolysis bullosa (EB) with a skin as fragile as the wings of a butterfly. There are about 25 distinct types of EB caused by mutations in one of the 15 involved genes. Junctional epidermolysis bullosa (JEB) is an EB type characterized by a cleavage through the junctional layer between the epidermis and dermis. The adhesion proteins in the junctional layer are disturbed or absent. In the subtype JEB, type Herlitz (JEB-H) laminin-332 is totally absent. Children with JEB-H do not grow and suffer from painful erosions on their entire skin and in their throat. JEB-H is associated with hopeless, unbearable suffering and is fatal within the first 3 years of life. Twenty-two children with JEB-H were guided by the Center for Blistering Diseases in the UMCG from 1988 to 2011. This thesis presents the diagnostic features and long-term follow-up of these patients. We also interviewed parents who had lost their child to lethal EB, on which we based guidelines for the guidance of future parents. In one of the children, the parents asked for euthanasia, which was performed according to the Groningen protocol. Another part of this thesis focuses on the less severe subtype JEB, type non-Herlitz (JEB-nH), in which patients do survive to adulthood. We show that adult JEB-nH patients have -from an early age on- an increased risk (25%) of developing an aggressive squamous cell carcinoma that metastasizes in 20% of the patients. Another study describes that punch grafting, in which small skin grafts are placed in chronic wounds to promote wound healing, is an easy and effective treatment in JEB-nH patients. Furthermore, we show that JEB of late onset is caused by mutations in the gene COL17A1.",
keywords = "Proefschriften (vorm), Fenotype, Genotype, Epidermolysis bullosa, dermatologie (geneeskunde)",
author = "Yuen, {Wing Yan}",
note = "Relation: https://www.rug.nl/ Rights: University of Groningen",
year = "2012",
language = "English",
isbn = "9789088914164",
publisher = "[s.n.]",
school = "University of Groningen",

}

RIS

TY - THES

T1 - Junctional epidermolysis bullosa

AU - Yuen, Wing Yan

N1 - Relation: https://www.rug.nl/ Rights: University of Groningen

PY - 2012

Y1 - 2012

N2 - They are called "Butterfly Children", the patients with epidermolysis bullosa (EB) with a skin as fragile as the wings of a butterfly. There are about 25 distinct types of EB caused by mutations in one of the 15 involved genes. Junctional epidermolysis bullosa (JEB) is an EB type characterized by a cleavage through the junctional layer between the epidermis and dermis. The adhesion proteins in the junctional layer are disturbed or absent. In the subtype JEB, type Herlitz (JEB-H) laminin-332 is totally absent. Children with JEB-H do not grow and suffer from painful erosions on their entire skin and in their throat. JEB-H is associated with hopeless, unbearable suffering and is fatal within the first 3 years of life. Twenty-two children with JEB-H were guided by the Center for Blistering Diseases in the UMCG from 1988 to 2011. This thesis presents the diagnostic features and long-term follow-up of these patients. We also interviewed parents who had lost their child to lethal EB, on which we based guidelines for the guidance of future parents. In one of the children, the parents asked for euthanasia, which was performed according to the Groningen protocol. Another part of this thesis focuses on the less severe subtype JEB, type non-Herlitz (JEB-nH), in which patients do survive to adulthood. We show that adult JEB-nH patients have -from an early age on- an increased risk (25%) of developing an aggressive squamous cell carcinoma that metastasizes in 20% of the patients. Another study describes that punch grafting, in which small skin grafts are placed in chronic wounds to promote wound healing, is an easy and effective treatment in JEB-nH patients. Furthermore, we show that JEB of late onset is caused by mutations in the gene COL17A1.

AB - They are called "Butterfly Children", the patients with epidermolysis bullosa (EB) with a skin as fragile as the wings of a butterfly. There are about 25 distinct types of EB caused by mutations in one of the 15 involved genes. Junctional epidermolysis bullosa (JEB) is an EB type characterized by a cleavage through the junctional layer between the epidermis and dermis. The adhesion proteins in the junctional layer are disturbed or absent. In the subtype JEB, type Herlitz (JEB-H) laminin-332 is totally absent. Children with JEB-H do not grow and suffer from painful erosions on their entire skin and in their throat. JEB-H is associated with hopeless, unbearable suffering and is fatal within the first 3 years of life. Twenty-two children with JEB-H were guided by the Center for Blistering Diseases in the UMCG from 1988 to 2011. This thesis presents the diagnostic features and long-term follow-up of these patients. We also interviewed parents who had lost their child to lethal EB, on which we based guidelines for the guidance of future parents. In one of the children, the parents asked for euthanasia, which was performed according to the Groningen protocol. Another part of this thesis focuses on the less severe subtype JEB, type non-Herlitz (JEB-nH), in which patients do survive to adulthood. We show that adult JEB-nH patients have -from an early age on- an increased risk (25%) of developing an aggressive squamous cell carcinoma that metastasizes in 20% of the patients. Another study describes that punch grafting, in which small skin grafts are placed in chronic wounds to promote wound healing, is an easy and effective treatment in JEB-nH patients. Furthermore, we show that JEB of late onset is caused by mutations in the gene COL17A1.

KW - Proefschriften (vorm)

KW - Fenotype

KW - Genotype

KW - Epidermolysis bullosa

KW - dermatologie (geneeskunde)

M3 - Thesis fully internal (DIV)

SN - 9789088914164

PB - [s.n.]

CY - Groningen

ER -

ID: 14518111