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Living with Epidermolysis bullosa simplex 1A, generalized severe

A severe form of epidermolysis bullosa simplex with widespread small blisters starting in newborns.

Understanding Epidermolysis bullosa simplex 1A, generalized severe

Epidermolysis bullosa simplex 1A, generalized severe, is a form of EB simplex with widespread small blisters in groups or arcs.

It is present in newborns. Some babies are born with areas of missing skin. Other features include fragile skin, blisters in the mouth, feeding difficulties, slow growth, nail changes, and scarring.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Skin blisters
  • Fragile skin
  • Areas of missing skin at birth
  • Blisters in the mouth
  • Feeding difficulties
  • Slow growth

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and skin, hair, and nail specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    DEBRA of America may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: DEBRA of America
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with DEBRA of America and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Can genetic testing find the exact gene change?
How can we help with feeding and growth?
How should we care for blisters to prevent infection?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant

This condition is autosomal dominant, which means a change in one copy of the gene can cause it. GARD does not name the gene.

GeneticSkin

Also known as: autosomal dominant generalized ebs, severe form; autosomal dominant generalized epidermolysis bullosa simplex, severe form; dowling-meara epidermolysis bullosa; ebs-gen sev; ebs, generalised severe; ebs, generalized severe

Patient organizations

Source: NIH GARD · Epidermolysis bullosa simplex 1A, generalized severeGARD ID 2141 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Epidermolysis bullosa simplex 1A, generalized severe.

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