{"id":8222,"date":"2020-04-27T18:01:37","date_gmt":"2020-04-27T21:01:37","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/wiki\/epidermolisis-ampollosa-de-union\/"},"modified":"2020-04-27T18:01:37","modified_gmt":"2020-04-27T21:01:37","slug":"epidermolisis-ampollosa-de-union","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/epidermolisis-ampollosa-de-union\/","title":{"rendered":"Binding epidermolysis bullosa"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/epidermolisis-ampollosa-de-union\/#%C2%BFQue-es-la-epidermolisis-ampollosa\" >What is epidermolysis bullosa?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/epidermolisis-ampollosa-de-union\/#%C2%BFQue-es-la-epidermolisis-ampollosa-de-la-union\" >\u00bfQu\u00e9 es la epiderm\u00f3lisis ampollosa de la uni\u00f3n?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/epidermolisis-ampollosa-de-union\/#%C2%BFQuien-contrae-epidermolisis-ampollosa-de-union\" >\u00bfQui\u00e9n contrae epiderm\u00f3lisis ampollosa de uni\u00f3n?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/epidermolisis-ampollosa-de-union\/#%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-epidermolisis-ampollosa-de-union\" >\u00bfCu\u00e1les son las caracter\u00edsticas cl\u00ednicas de la epiderm\u00f3lisis ampollosa de uni\u00f3n?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/epidermolisis-ampollosa-de-union\/#%C2%BFComo-se-diagnostica-la-epidermolisis-ampollosa-de-la-union\" >\u00bfC\u00f3mo se diagnostica la epiderm\u00f3lisis ampollosa de la uni\u00f3n?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/epidermolisis-ampollosa-de-union\/#%C2%BFCual-es-el-tratamiento-de-la-epidermolisis-ampollosa-de-la-union\" >\u00bfCu\u00e1l es el tratamiento de la epiderm\u00f3lisis ampollosa de la uni\u00f3n?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/epidermolisis-ampollosa-de-union\/#%C2%BFCual-es-el-resultado-para-pacientes-con-epidermolisis-ampollosa-de-union\" >\u00bfCu\u00e1l es el resultado para pacientes con epiderm\u00f3lisis ampollosa de uni\u00f3n?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-epidermolisis-ampollosa\"><\/span>What is epidermolysis bullosa?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Epidermolysis bullosa (EB) is a group of inherited diseases characterized by blistered skin lesions and <span class=\"term\" data-term-id=\"188\">mucous<\/span> membranes These can occur anywhere on the body, but generally appear at friction and minor sites <span class=\"term\" data-term-id=\"1365\">trauma<\/span> like feet and hands. In some subtypes, blisters may also appear on internal organs, such as the esophagus, stomach, and airways, with no apparent friction.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-la-epidermolisis-ampollosa-de-la-union\"><\/span>\u00bfQu\u00e9 es la epiderm\u00f3lisis ampollosa de la uni\u00f3n?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>En la epiderm\u00f3lisis ampollosa simple de uni\u00f3n (JEB), el sitio de formaci\u00f3n de ampollas dentro de la piel es la l\u00e1mina l\u00facida dentro del <span class=\"term\" data-term-id=\"21\">basement membrane area<\/span>. Causa <span class=\"term\" data-term-id=\"308\">generalized<\/span> ampollas en la piel y en el interior <span class=\"term\" data-term-id=\"1486\">mucous membranes<\/span> de diversa gravedad.<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQuien-contrae-epidermolisis-ampollosa-de-union\"><\/span>\u00bfQui\u00e9n contrae epiderm\u00f3lisis ampollosa de uni\u00f3n?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>JEB es una enfermedad hereditaria rara. La mayor\u00eda de los subtipos de JEB son de herencia dominante. Esto significa que se transmiten de un padre afectado a la mitad de sus hijos. JEB ocurre igualmente en hombres y mujeres.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCuales-son-las-caracteristicas-clinicas-de-la-epidermolisis-ampollosa-de-union\"><\/span>\u00bfCu\u00e1les son las caracter\u00edsticas cl\u00ednicas de la epiderm\u00f3lisis ampollosa de uni\u00f3n?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<table class=\"borders\">\n<tbody>\n<tr>\n<th>JEB subtypes<\/th>\n<th>Characteristics<\/th>\n<\/tr>\n<tr>\n<td>Generalized severe JEB<br \/> Anteriormente conocido como Herlitz JEB<\/td>\n<td>\n<ul>\n<li>Forma generalizada y m\u00e1s severa de JEB donde aparecen ampollas en todo el cuerpo y a menudo involucran membranas mucosas y \u00f3rganos internos<\/li>\n<li>Solo puede presentarse al nacer con una peque\u00f1a ampolla, pero se vuelve m\u00e1s <span class=\"term\" data-term-id=\"309\">extended<\/span> poco despues<\/li>\n<li>Hoarse crying or cough are indicative of involvement of the internal organs.<\/li>\n<li>Complications like <span class=\"term\" data-term-id=\"145\">infection<\/span>, malnutrition and dehydration generally lead to premature death in childhood<\/li>\n<li>Most cases are fatal within the first 12 to 24 months of life.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<tr>\n<td>JEB generalized intermediate<br \/> Anteriormente conocido como no Herlitz JEB<\/td>\n<td>\n<ul>\n<li>Generalized blisters and <span class=\"term\" data-term-id=\"1018\">mucous membrane<\/span> participation present at or shortly after birth<\/li>\n<li>Cuero cabelludo, <span class=\"term\" data-term-id=\"193\">nail<\/span> y dientes m\u00e1s involucrados<\/li>\n<li>Complications such as infection, malnutrition, and dehydration can cause death in childhood, but those that do survive improve clinically with increasing age.<\/li>\n<\/ul>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFComo-se-diagnostica-la-epidermolisis-ampollosa-de-la-union\"><\/span>\u00bfC\u00f3mo se diagnostica la epiderm\u00f3lisis ampollosa de la uni\u00f3n?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>En los subtipos dominantes de EB, donde se conoce un \u00e1rbol geneal\u00f3gico informativo, a menudo es aceptable que un especialista haga un diagn\u00f3stico cl\u00ednico <span class=\"term\" data-term-id=\"54\">dermatologist<\/span> basado en los signos de presentaci\u00f3n. Las pruebas de diagn\u00f3stico tambi\u00e9n est\u00e1n disponibles en algunos pa\u00edses e incluyen <span class=\"term\" data-term-id=\"142\">immunofluorescence<\/span> <span class=\"term\" data-term-id=\"410\">antigen<\/span> mapeo (IFM) y \/ o electr\u00f3n de transmisi\u00f3n <span class=\"term\" data-term-id=\"867\">microscopy<\/span> (EM) de una piel <span class=\"term\" data-term-id=\"24\">biopsy<\/span> de una ampolla reci\u00e9n inducida.<\/p>\n<p>An\u00e1lisis mutacional (an\u00e1lisis de sangre de <span class=\"term\" data-term-id=\"775\">genes<\/span>) tambi\u00e9n est\u00e1 disponible en algunos pa\u00edses<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-de-la-epidermolisis-ampollosa-de-la-union\"><\/span>\u00bfCu\u00e1l es el tratamiento de la epiderm\u00f3lisis ampollosa de la uni\u00f3n?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ver tratamiento de la epiderm\u00f3lisis ampollosa &#8211; general.<\/p>\n<ul>\n<li>Donde est\u00e9 disponible, <span class=\"term\" data-term-id=\"1123\">gel<\/span>Los ap\u00f3sitos de tipo silicona y silicona son los m\u00e1s adecuados para beb\u00e9s con JEB, ya que causan un bajo grado de trauma al extraerlos.<\/li>\n<li>El manejo de los s\u00edntomas respiratorios puede incluir ox\u00edgeno humidificado y medicamentos.<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-resultado-para-pacientes-con-epidermolisis-ampollosa-de-union\"><\/span>\u00bfCu\u00e1l es el resultado para pacientes con epiderm\u00f3lisis ampollosa de uni\u00f3n?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hay una alta tasa de mortalidad (muerte) en JEB, especialmente JEB grave generalizada, independientemente de la intervenci\u00f3n m\u00e9dica.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es la epiderm\u00f3lisis ampollosa? La epiderm\u00f3lisis ampollosa (EB) es un grupo de enfermedades hereditarias que se caracterizan por lesiones ampollas en la piel y mucoso membranas Estos pueden ocurrir&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-8222","wiki","type-wiki","status-publish","format-standard"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8222","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=8222"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/8222\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=8222"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=8222"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=8222"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}