Löffel F B, Stücker M
Klinik für Dermatologie, Venerologie und Allergologie, Ruhr-Universität Bochum, Venenzentrum der dermatologischen und gefäßchirurgischen Kliniken, Gudrunstr. 56, 44791, Bochum, Deutschland.
Hautarzt. 2016 Oct;67(10):829-832. doi: 10.1007/s00105-016-3833-z.
Localized bullous pemphigoid is a seldom subtype of bullous pemphigoid. We report the case of a 63-year-old man who developed tense bullae on an erythematous area on the left calf after two episodes of erysipelas. Using histological and direct immunofluorescence studies localized bullous pemphigoid provoked by erysipelas was diagnosed. The patient was successfully treated with topical steroids. Clinicians should be aware of this differential diagnosis to avoid unnecessary antibiotic treatments.
局限性大疱性类天疱疮是大疱性类天疱疮中一种罕见的亚型。我们报告了一例63岁男性患者，其在两次丹毒发作后，左小腿红斑区域出现紧张性水疱。通过组织学和直接免疫荧光研究，诊断为由丹毒引发的局限性大疱性类天疱疮。该患者经外用类固醇治疗成功。临床医生应了解这种鉴别诊断，以避免不必要的抗生素治疗。
