• Jana Knab, Hauke Schumann, Heike Kaltofen, and Daniel Steinmann.
• Anästhesiologischen Universitätsklinik Freiburg mit Tätigkeitsschwerpunkt Kinderanästhesie. jana.knab@uniklinikfreiburg.de
• Anasthesiol Intensivmed Notfallmed Schmerzther. 2010 Oct 1; 45 (10): 618-24.

AbstractEpidermolysis bullosa (EB) is a heterogeneous group of inherited rare diseases, which are characterized by trauma-induced blister formation of the skin and mucosa. The underlying cause is a functional deficiency of structural proteins of the epidermis or the dermis. Depending on the level of the blister formation, EB is divided into EB simplex (intra-epidermal), junctional EB (within the lamina lucida), dystrophic EB (below the lamina lucida) and Kindler syndrome (variable level of split formation). Besides different distinct blister formation and pain symptoms secondary problems like anaemia, oesophageal stenosis, cardiomyopathy or squamous cell carcinoma may occur. Since causal therapies are not available strict prevention of friction and trauma is essential to avoid blister formation. Anaesthesia challenges exist in the field of bedding procedures, care of the skin, monitoring, airway management und analgesia. This article gives a review over the EB and highlights in detail the corresponding anaesthesia characteristics.© Georg Thieme Verlag Stuttgart · New York.

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