Final answer:
Dystrophic epidermolysis bullosa is most likely caused by a deficiency of collagen, specifically type VII collagen necessary for anchoring skin layers.
Step-by-step explanation:
The most likely explanation for the defect in dystrophic epidermolysis bullosa, in which the skin blisters with any touch, is a deficiency of collagen. Dystrophic epidermolysis bullosa is a condition that results from mutations affecting the collagen proteins, particularly type VII collagen, which is crucial for the anchoring of the epidermal layers to the underlying dermis. A deficiency in this collagen leads to the separation of these skin layers and the formation of blisters with minimal mechanical stress.