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Pediatr DermCase report

Severe Junctional Epidermolysis Bullosa

Honoring Parental Values in Pediatric Palliative Decision-Making.

Popenhagen MP, Bruckner AL, Feinstein JA, Hill AB, Heinrichs S, Stack A, Doernbrack C, Schober-Flores C, Cacioppo CL, Godber DM, Gorell ES

Pediatric DermatologyIn the feed 4 Sep 2026, issue 2026 Aug, added to PubMed 4 Sep 2026

Topics: Genetic skin diseaseChildren

Abstract

Severe junctional epidermolysis bullosa (JEB) is a rare, incurable, autosomal recessive blistering disorder with a uniformly poor prognosis. We present the case of a female infant diagnosed shortly after birth with genetically confirmed severe JEB, whose family prioritized comfort-focused care and memory-making over life-prolonging interventions. Her interdisciplinary care centered on symptom relief, bonding, and alignment with family values. This case underscores the importance of early diagnosis and values-based decision-making in managing rare, life-limiting conditions like severe JEB.

Abstract from PubMed

PMID 42696381 · DOI 10.1111/pde.70104