Case report on bullous pemphigoid-A challenge with co-morbidities

Kripa Angeline A; Nivetha L

Case report on bullous pemphigoid-A challenge with co-morbidities

Authors
Kripa Angeline A, Nivetha L

Abstract
Bullous pemphigoid (BP) is a rare chronic autoimmune disease of the skin which typically affects people over the age of 60. It might present with blisters seen on arms, legs, groin, mouth or abdomen less commonly involve the mucous membranes including the eyes, oral mucosa, esophagus and genital mucosa. In overall pemphigoid prevalence was 0.012% per 100000 adults and more than 60 years was 0.038% per 100000. In this paper, a 63-year old Female is presented with the complaints of exacerbation of fluid filled lesions all over body since 5 days. The main diagnosis was Bullous pemphigoid with hypertension and Hypothyroidism. Patient was on Corticosteroids and appropriate wound care, diabetes and hypothyroidism was managed with oral drugs. Multiple tense bullae over an erythematous base, few in group and few in discrete pattern over bilateral forearm, neck, face, trunk, proximal part of lower limbs. All blisters were varying sizes ranging between 1-5 cm in diameter, It was successfully managed with appropriate treatment. BP is a life-threatening, especially for older peoples who are already in poor health.

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