NYMC Faculty Publications
Management of Epidermolysis Bullosa simplex in Pregnancy: A Case Report
DOI
10.1016/j.crwh.2019.e00140
Journal Title
Case Reports in Women's Health
First Page
e00140
Document Type
Case Report
Publication Date
October 2019
Department
Anesthesiology
Abstract
Epidermolysis bullosa (EB) encompasses a group of diseases characterized by extreme fragility of skin and mucous membranes, resulting in blister formation following minimal injury. There are 4 types of EB, with epidermolysis bullosa simplex (EBS) being the most common. We report our experience with the care of a parturient woman diagnosed with EBS. There is little literature on pregnancy in women with this condition. Special precautions are necessary during diagnostic and therapeutic interventions to avoid bullae formation or exacerbation of existing lesions. Frictional or shearing forces are typically more damaging than compressive forces. Multidisciplinary planning was done for our patient to ensure uneventful labor and delivery. Elective induction of labor was started at 40 weeks of gestation. She eventually underwent a cesarean delivery after failed trial of labor. We present this case to highlight the obstetric and anesthetic implications of caring for a parturient with EBS.
Recommended Citation
Shah, N., Kumaraswami, S., & Mushi, J. (2019). Management of Epidermolysis Bullosa simplex in Pregnancy: A Case Report. Case Reports in Women's Health, 24, e00140. https://doi.org/10.1016/j.crwh.2019.e00140
