Juvenile or dystrophic epidermolysis bullosa can be identified when certain clinical and histologic features are present. The authors are from the Japanese Study Group for Rare Intractable Skin Diseases.
Clinical criteria:
(1) onset at birth
(2) blisters form readily on the skin and mucous membrane following gentle mechanical stimulation
(3) exclusion of other blistering diseases
(4) lesions resolve with atrophy or scar formation