Treatment
Medical Care
Treatment is mainly symptomatic and preventative in nature. Patients should be advised to avoid trauma, which helps prevent blister formation. Sun avoidance and photoprotection may prevent or slow the progression of poikiloderma. Good wound care includes the use of topical and systemic antibiotics for infected bullous lesions, which may reduce morbidity.
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Surgical Care
Telangiectasias can be treated with pulsed-dye laser therapy. Surgical correction of urethral, anal, or esophageal stenosis may be needed.
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Consultations
Consultation with the following specialists may be necessary:
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Dermatologist
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Geneticist
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Dentist
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Psychological counselor
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Ophthalmologist and/or surgeon depending on related complications
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Media Gallery
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Images show the progression of lesions. A and B: At birth, acral blisters and erosions are present. C and D: At age 5 years, atrophy and reticulated erythema with dyschromic patches are noted. E and F: At age 7 years, progressive poikilodermatous changes with reticulated erythema and telangiectasia occur. G and H: At age 10 and 15 years, poikiloderma with telangiectasia and depigmentation are observed. Excoriations are due to pruritus. Reprinted from Yasukawa K, Sato-Matsumura KC, McMillan J, et al: Exclusion of COL7A1 mutation in Kindler syndrome. J Am Acad Dermatol 2002 Mar; 46(3): 447-50. Courtesy of the American Academy of Dermatology.
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