Effectiveness of Debridement Treatment in Neonatorum Epidermolysis Bullosa: A Case Report
Journal Title: International Journal Of Medical Science And Clinical Research Studies - Year 2022, Vol 2, Issue 07
Abstract
Epidermolysis Bullosa (EB) is an autosomal genetic disorderthatcharacterized by blistering of the skin and mucosa following mild trauma such as frictional trauma. There is no definitive treatment has yet to be developed. The goal of surgical debridement is to achieve a clean wound bed in fastest way, reduce bacterial burden, remove as much nonvital tissue, speed up the healing process, which will shorten the length of stay in hospital. Case Finding: We have 3 days old newborn with clinical appearance similar to a second degree burn lesion bullous lesions and epidermal damage on her both feet, gluteal, and genital regions but without previous history of contact with thermal trauma consulted to patients. General physical examination showed no fever and vital within normal condition. In the perinatal history, the baby was delivered by caesarean section from a 37 years-old G3P2A0motherwith preeclampsiacomorbid, normal gestational age, her birth weight was 3800 grams, her birth length was51 cm, and with APGAR her scores ofwere9 and 10 the1stand 5thminuterespectively. Our newborn patient was looked like 2nddegree burn injury with blisters and epidermolysis but without previous history of contact with thermal trauma. Consulted to plastic surgeon for further evaluation and management. The Baby was discharged day 9 or after 3 days debridement management in stable condition.Conclusion: The surgical debridementdemonstrated greatly effective and efficient in achieving these aims. Observation on day 3 did not reveal any sign of infection, showing controlled symptoms and good healing process. We suggest that performing debridement on Epidermolysis Bullosa (EB) patient would shorten the duration of hospitalization. Therefore, it provides low-risk nosocomial infection and low-cost hospitalization.
Authors and Affiliations
Azhar Naufaldi Saputra, Nathasya Fernanda, Azmi Alauddin Setyanugrahanto, Ahmad Fawzy Mas’ud
Keywords
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- EP ID EP731858
- DOI 10.47191/ijmscrs/v2-i7-17
- Views 36
- Downloads 0
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