raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:79403

Junctional epidermolysis bullosa with pyloric atresia

Synonyms: Carmi syndrome · JEB with pyloric atresia · JEB-PA

Type
Disease
Group
Disorder
Inheritance
Autosomal recessive
Age of onset
Antenatal, Neonatal
Status
active

A severe form of junctional epidermolysis bullosa (JEB) characterized by generalized blistering at birth and congenital atresia of the pylorus and rarely of other portions of the gastrointestinal tract.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enJunctional epidermolysis bullosa with pyloric atresiaCarmi syndrome · JEB with pyloric atresia · JEB-PA
frEpidermolyse bulleuse jonctionnelle avec atrésie pyloriqueEBJ avec atrésie pylorique · EBJ-AP · Epidermolyse bulleuse jonctionnelle avec atrésie du pylore · Syndrome de Carmi
deJunktionale Epidermolysis bullosa mit PylorusatresieCarmi-Syndrom · EBJ-PA
esEpidermólisis ampollosa juntural con atresia pilóricaEpidermólisis bullosa juntural con atresia pilórica · JEB con atresia pilórica · Síndrome de Carmi
itEpidermolisi bollosa giunzionale con atresia del piloroJEB con atresia pilorica · JEB-PA · Sindrome di Carmi
nlJunctionele epidermolysis bullosa met pylorusatresieSyndroom van Carmi · JEB met pylorusatresie · JEB-PA
ptEpidermólise bolhosa juncional com atrésia do piloroJEB-PA · Síndrome Carmi
plPęcherzowe oddzielanie się naskórka graniczne z zarośnięciem odźwiernikaZespół Carmi
csSyndrom zahrnující junkční epidermolysis bullosa a atrézii pyloruCarmiové syndrom · JEB-PA
ukМежовий бульозний епідермоліз з атрезією пілорусаСиндром Кармі · БЕЗ з атрезією пілоричного відділу шлунка · БЕЗ-PA
zh交界型大疱性表皮松解症-幽门闭锁综合征Carmi综合征
trJunctional epidermolizis bülloza-pilorik atrezi sendromuJEB-PA · Carmi sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM226730BTNTvalidated
OMIM619817BTNTvalidated
ICD-10Q81.8NTBTattributedvalidated
ICD-11EC31NTBTindexvalidated
MONDO0009183Evalidated
MeSHC535377Evalidated
UMLSC1856934Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (2):

No children.

4

Genes

2 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ITGA6Disease-causing germline mutation(s) inAssessedHGNC:6142ENSG000000914091475562q31.1integrin subunit alpha 69185503[PMID]_20301336[PMID]
ITGB4Disease-causing germline mutation(s) inAssessedHGNC:6158ENSG0000013247014755717q25.1integrin subunit beta 411328943[PMID]_20301336[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families100 casesWorldwideCase(s)Validated20301336[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_20301336[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

21 annotations · validated 2016-06-01
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0003270Abdominal distention
HP:0008066Abnormal blistering of the skin
HP:0004399Congenital pyloric atresia
HP:0011100Intestinal atresia
HP:0002017Nausea and vomiting
HP:0200097Oral mucosal blisters
Frequent (79-30%)
HP:0010477Aplasia of the bladder
HP:0006297Enamel hypoplasia
HP:0000790Hematuria
HP:0000126Hydronephrosis
HP:0001561Polyhydramnios
HP:0001581Recurrent skin infections
HP:0000075Renal duplication
HP:0000110Renal dysplasia
HP:0000070Ureterocele
HP:0012227Urethral stricture
HP:0100577Urinary bladder inflammation
Occasional (29-5%)
HP:0001057Aplasia cutis congenita
HP:0000656Ectropion
HP:0008404Nail dystrophy
HP:0001059Pterygium

Run the differential on the 6 obligate / very frequent terms

Annotation source: 20301336[PMID]_20507631[PMID]_20301481[PMID]

7

Sources for this card