Development of a nutritionally balanced, melt-in-the-mouth chocolate for patients with epidermolysis bullosa

J Dermatol. 2023 Dec;50(12):1640-1643. doi: 10.1111/1346-8138.16955. Epub 2023 Sep 7.

Abstract

Epidermolysis bullosa (EB) is a group of inherited blistering disorders that primarily affect the skin and mucous membranes of the digestive tract, which can lead to poor nutritional status. Dietary supplements and nutritional support methods, such as nasogastric tubes and gastrostomy, have been employed to improve the nutritional status of patients with EB; however, few foods are suitable for enjoyable eating with family and friends. Here, we introduce a nutritionally balanced, melt-in-the-mouth chocolate called andew, which was specifically designed for patients with EB. The andew chocolate is nutritionally superior and melts more easily than traditional chocolates, thus it is suitable for patients with EB, who are prone to oral erosions. Patients responded more favorably to the taste and texture of andew than to those of other dietary supplements. Not only does andew provide nutritional benefits, but it also promotes enjoyable eating with family members and friends, which could positively impact patients' mental health.

Keywords: chocolate; epidermolysis bullosa; nutrition; questionnaires.

MeSH terms

  • Blister
  • Chocolate*
  • Epidermolysis Bullosa Dystrophica*
  • Epidermolysis Bullosa*
  • Humans
  • Mouth
  • Skin