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Living with Recessive dystrophic epidermolysis bullosa inversa

A rare genetic skin condition in which blisters and sores mostly appear in skin folds starting in the teen years.

Understanding Recessive dystrophic epidermolysis bullosa inversa

Recessive dystrophic epidermolysis bullosa inversa is a rare type of dystrophic epidermolysis bullosa in which blisters mostly occur in skin folds.

From adolescence or early adulthood, the blisters and sores are mostly in the creases of the skin. GARD lists onset in the newborn or infant period.

Signs & symptoms

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

  • Skin blisters and sores in skin folds
  • Fragile skin
  • Blisters in the mouth and genital area
  • Poorly formed or missing nails
  • Scars with sunken skin
  • Dental cavities

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 COL7A1 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
Would genetic testing for the COL7A1 gene help our family?
How can blisters in skin folds be managed?
How should the mouth, teeth, and nails be cared for?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Recessive
GenesCOL7A1

This condition is caused by changes in the COL7A1 gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticSkin

Also known as: dystrophic epidermolysis bullosa inversa; dystrophic epidermolysis bullosa inverse type; inverse rdeb; inverse recessive dystrophic epidermolysis bullosa; rdeb inversa; rdeb-i

Patient organizations

Source: NIH GARD · Recessive dystrophic epidermolysis bullosa inversaGARD ID 16720 · 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 Recessive dystrophic epidermolysis bullosa inversa.

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