Shedding Old Skin

Treatment of a Rare Genetic Skin Disorder Helped
a 4-year-old Walk for the First Time in his Life

THE CASE

A 4-year-old baby from Barmer, Rajasthan, suffering from Dystrophic Epidermolysis Bullosa, was brought to Nanavati Super Speciality Hospital. “Butterfly Child” is the colloquial name given to a child born with this disease, as their skin is as delicate and fragile as that of a butterfly. The baby has been suffering from the rare genetic mutation since birth. The absence of protein – collagen 7 was causing blisters and peeling all over the body and erosion of skin. The baby was suffering from mitten hand deformity that had contracted his hand and legs, and this disabled the baby from walking until now. He was also suffering from constipation, acid reflux and other oral problems.

THE PROCEDURE

The first line of treatment was to keep the baby free from erosion. At Nanavati Hospital, special air-bed, foam chair and soft clothes were ordered. Special foam footwear was also ordered so that the baby could walk without pain and erosion of skin. His skin care was regulated with advanced foam and silicone dressing that considerably reduced the blistering and lowered dressing change requirement to only twice a month. Foam dressing for knees and elbows were also given to prevent causing of any trauma. His customised foam footwear helped him walk properly for the first time in 4 years. Dental care was given by providing soft toothbrush and mouthwash to avoid further infection and ointment for blisters in the mouth. Along with this, a special lotion was applied to prevent peel-off or blisters completely.

THE RESULT

After the treatment, erosion of skin has reduced to a considerable extent. The baby is now able to walk and perform regular day to day activities.



Dr. Raina Nahar

Dr. Raina Nahar
Consultant
Cosmetology and Dermatology
Nanavati Super Speciality
Hospital, Mumbai