Kokila Sekaranabout 1 year ago

Bullous pemphigoid

A 80 y/o patient came with c/o blisters all over hands arms legs and around eyes.No signs of infection. Usually it starts with itching before the blister starts,then hive like welts and multiple blisters called bullae commonly seen on arms,legs, abdomen,groin,mouth. In severe cases it occurs around eyes. The blisters may break open and become an open sore or ulcer. The fluid inside the may be clear, or contain some blood. The skin around the blisters can appear either normal or red. Bullous pemphigoid is a rare auto immune disease. It usually occurs in people more than more than 60 years old. Treatment - corticosteroids topical or oral. Its not curable but corticosteroids relieves symptoms and reduces inflammation.