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Living with Epidermolysis bullosa simplex with migratory circinate erythema

A rare inherited form of EB simplex with belt-like red areas and small blisters, starting at birth.

Understanding Epidermolysis bullosa simplex with migratory circinate erythema

Epidermolysis bullosa simplex with migratory circinate erythema is a rare inherited form with belt-like red areas edged with blisters.

The red areas have small blisters along the advancing edge. They appear on the arms, legs, and trunk and heal with brown skin color but no scarring. Other body systems are not affected. It usually starts at birth.

Signs & symptoms

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

  • Skin blisters
  • Belt-like moving red patches
  • Blisters on the hands and feet
  • Itching
  • Darker skin patches after healing
  • Fragile skin without scarring

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. Consider genetic testing

    Changes in KRT5 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 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 for the KRT5 gene confirm this diagnosis?
What can help with the itching?
Will the skin patches fade over time?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesKRT5

Changes in the KRT5 gene cause this condition. It is autosomal dominant, which means a change in one copy of the gene can cause it.

GeneticSkin

Also known as: ebs with circinate migratory erythema; ebs-migr; epidermolysis bullosa simplex 2e, with migratory circinate erythema; epidermolysis bullosa simplex with circinate migratory erythema

Patient organizations

Source: NIH GARD · Epidermolysis bullosa simplex with migratory circinate erythemaGARD ID 16990 · 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 with migratory circinate erythema.

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