Giunzioni Davide
Division of Nephrology, Department of Internal Medicine, Ospedale Regionale di Lugano, Ente Ospedaliero Cantonale, Lugano, Switzerland.
Case Rep Dermatol. 2020 Mar 17;12(1):42-46. doi: 10.1159/000506667. eCollection 2020 Jan-Apr.
Bullous pemphigoid (BP), a chronic autoimmune subepidermal blistering skin disease, has been described in end-stage renal disease patients requiring dialysis after the placement of an artero-venous fistula. We report a case of a novel onset of BP following a peritoneal dialysis abdominal Tenckhoff catheter placement. The 3-month treatment with systemic doxycycline and topical clobetasol propionate allowed a rapid disappearing of the blisters and left the patient free of symptoms in the follow-up. To our knowledge, this is the first case describing a new BP onset after a peritoneal dialysis catheter placement.
大疱性类天疱疮(BP)是一种慢性自身免疫性表皮下大疱性皮肤病,在需要动静脉造瘘术后进行透析的终末期肾病患者中已有报道。我们报告了1例在放置腹膜透析腹透管后新发BP的病例。经全身使用强力霉素和外用丙酸氯倍他索治疗3个月,水疱迅速消失,患者在随访中无症状。据我们所知,这是首例描述腹膜透析导管置入后新发BP的病例。