Pain Management in Epidermolysis Bullosa - 05/08/11

Doi : 10.1016/j.det.2010.01.008

Kenneth R. Goldschneider, MD ^a,^b, Anne W. Lucky, MD ^a,^c,^d,^⁎
^a University of Cincinnati College of Medicine, Cincinnati, OH, USA
^b Division of Pain Management, Department of Anesthesiology, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA
^c Cincinnati Children’s Epidermolysis Bullosa Center, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA
^d Division of Pediatric Dermatology, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229, USA

Corresponding author. Division of Pediatric Dermatology, Cincinnati Children’s Hospital Medical Center, 3333 Burnet Avenue, Cincinnati, OH 45229.

Résumé

Pain is an unfortunate constant in the lives of most patients with epidermolysis bullosa (EB), especially for those with the more severe types of EB. Patients with EB have a broad spectrum of need for pain treatment, varying with the type of EB, the severity within that type, and the particular physical, emotional, and psychological milieu of each individual. Prevention of situations that precipitate trauma to the skin or exacerbate other pain-inducing complications of this multifaceted disorder is the primary goal of the treating physician. The approach to pain management is different in daily life, during intermittent exacerbations or injuries, or when hospitalizations or operative procedures occur.

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Keywords : Epidermolysis bullosa, Pain management, Pruritus, Children, Pediatric pain, Pain, Palliative care