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Living with Epidermolysis bullosa simplex 5B, with muscular dystrophy

A rare inherited form of EB simplex with widespread blisters along with muscle disease (muscular dystrophy).

Understanding Epidermolysis bullosa simplex 5B, with muscular dystrophy

Epidermolysis bullosa simplex 5B, with muscular dystrophy, is a form of EB simplex with widespread blisters and muscle disease.

It is seen in newborns and infants. Along with skin blistering, people can have muscle weakness (muscular dystrophy). GARD also lists eye muscle weakness, a drooping eyelid, hair loss, and tooth and nail changes.

Signs & symptoms

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

  • Skin blisters
  • Muscle disease (myopathy)
  • Drooping upper eyelid (ptosis)
  • Weak eye muscles (ophthalmoparesis)
  • Hair loss
  • Tooth enamel problems and nail changes

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 brain and nervous system specialists, eye disease specialists, genetic specialists and skin, hair, and nail specialists.

  3. Consider genetic testing

    Changes in PLEC are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

  4. Connect with expert centers

    DEBRA of America and The Speak Foundation may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Eye disease specialists (ophthalmologists); Genetic specialists (geneticists); Skin, hair, and nail specialists (dermatologists)
Expert care
Expert lists: DEBRA of America, The Speak Foundation
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 for the PLEC gene confirm this diagnosis?
Which specialists should check muscle and eye function?
How can we care for the skin while managing muscle weakness?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesPLEC

Changes in the PLEC gene cause this condition. It is autosomal recessive, which means a child inherits a changed copy of the gene from each parent.

GeneticNeurologicalSkin

Also known as: ebs with muscular dystrophy; ebs-md; ebs5b; epidermolysis bullosa simplex and limb-girdle muscular dystrophy; epidermolysis bullosa simplex with muscular dystrophy; limb girdle muscular dystrophy with epidermolysis bullosa simplex

Patient organizations

Source: NIH GARD · Epidermolysis bullosa simplex 5B, with muscular dystrophyGARD ID 2137 · 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 5B, with muscular dystrophy.

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