A single-centre study on predictors and determinants of pubertal delay and growth impairment in Epidermolysis Bullosa

Giulia Rodari, Sophie Guez, Simona Salera, Fabio Massimo Ulivieri, Gianluca Tadini, Michela Brena, Eriselda Profka, Federico Giacchetti, Maura Arosio and Claudia Giavoli

PLOS ONE, 2022, vol. 17, issue 9, 1-14

Abstract: Background: Delayed puberty is a possible complication of Epidermolysis Bullosa (EB), though the actual incidence is still unknown. In chronic illnesses delayed puberty should be correctly managed since, if untreated, can have detrimental effects on adult height attainment, peak bone mass achievement and psychological health. Aims and methods: This is a single-centre study on pubertal development, growth and bone status in EB. Auxological, densitometric (areal Bone Mineral Density-aBMD Z-score, Bone Mineral Apparent Density-BMAD Z-score, Trabecular Bone Score-TBS and Bone Strain Index-BSI at Lumbar spine) and body composition data (Total Body DXA scans) were collected. Disease severity was defined according to Birmingham Epidermolysis Bullosa Severity (BEBS) score. Results: Twenty-one patients (12 Recessive Dystrophic EB-RDEB, 3 Dominant Dystrophic EB, 3 Junctional EB-JEB, 2 EB Simplex and one Kindler EB) aged 13 years (females) or 14 years (males) and above were enrolled (age 16.2±2.5 years, M/F 11/10). Short stature was highly prevalent (57%, mean height -2.12±2.05 SDS) with 55% patients with height

Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0274072

DOI: 10.1371/journal.pone.0274072

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