Epidermis bullosa is a genetically inherited disease in which painful blistering of the skin or mucous membranes occurs after minor trauma. It is a lifelong problem. The diagnosis should be confirmed by a specialist, preferably at a specialist unit where a treatment plan and follow-up arrangements for professionals and families can be put in place. Nurses will be involved in frequent dressings of wounds, after extra analgesia, and may need to be alert to any need for further specialist referral, especially in the case of complications such as infection, deformities, gastrointestinal strictures and possible skin cancers. Genetic counselling should also be offered to families, especially when considering the possible risks to future pregnancies.
Mary was a fit, healthy 39-year-old, a happy housewife, mother of two young boys and holding down a job. One morning she was surprised and shocked to see blood in her urine. She had noticed a little frequency of micturition in the previous few days but she had no pain, no dysuria and felt well.
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