Varied Symptoms Of Epidermolysis Bullosa

White Bumps On The Skin

Patients with epidermolysis bullosa may sometimes observe white bumps on the skin. Also known as milia, these bumps form as blisters are healing. Milia are particularly common in babies and young children and can occur at any age. They develop when small flakes of skin are trapped in tiny pockets close to the skin's surface. While the bumps are normally seen on the face and around the eyes, patients with epidermolysis bullosa can have them anywhere on the body where blisters have formed. These bumps typically go away on their own and do not require medical treatment. To reduce the risk of milia, patients with epidermolysis bullosa should protect their skin as much as possible to reduce the formation of blisters. Keeping the skin moisturized and avoiding scratching the skin can reduce blistering and milia. Some patients may wish to wear gloves at night to prevent the scratching that can lead to milia, and covering hard surfaces with blankets or other soft items can be beneficial too. Doctors also recommend keeping the home environment at a cool temperature and wearing clothing that is as soft as possible.

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Blisters In The Mouth And Throat

Blisters in the mouth and throat are most often seen in the more severe forms of epidermolysis bullosa. The blisters may form in the digestive tract, too, and this can make it very difficult to eat and receive adequate nutrition. Without sufficient nourishment, patients may develop anemia, and wounds may heal more slowly than they should. Children who cannot eat enough due to blisters in the mouth and throat may have delayed growth, and some patients also experience constipation due to eating problems. The blisters may be very painful, and doctors may prescribe pain relievers to help with symptom management. In particularly severe cases of malnutrition due to blisters, patients may need to have a feeding tube inserted. This involves a minor surgical procedure in which a gastrostomy tube is placed directly into the stomach so a high-calorie formula can be administered. To ease the pain of mouth and throat blisters, patients may wish to avoid hot food and drinks; consuming these items cold, at room temperature, or lukewarm may be more comfortable.

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