Ederle Amanda, Whisonant Cees T, Nymeyer Hugh
Internal Medicine, Baptist Health, Little Rock, USA.
Division of Plastic, Reconstructive, Hand and Burn Surgery, Department of Surgery, University of New Mexico Hospital, Albuquerque, USA.
Cureus. 2021 Jul 25;13(7):e16623. doi: 10.7759/cureus.16623. eCollection 2021 Jul.
Although often thought of as a disease of the elderly, bullous pemphigoid is the second most common bullous disease in infants. Infantile bullous pemphigoid is extremely rare and may be easily confused with other skin diseases such as epidermolysis bullosa and chronic bullous disease of childhood. There appears to be a paucity of literature on unique clinical presentations of infantile bullous pemphigoid. In this report, we describe a case of infantile bullous pemphigoid, which presented with tense bullae in a widespread distribution, including many labial bullae. The rash initially began on this patient's temples and ears four days prior. We believe this case will be of interest as it demonstrates a rare infantile disease with an unusual clinical presentation. It is important to consider infantile bullous pemphigoid in a patient presenting with tense bullae and initiate appropriate diagnostic studies.
大疱性类天疱疮虽常被认为是一种老年疾病，但却是婴儿中第二常见的大疱性疾病。婴儿型大疱性类天疱疮极为罕见，可能容易与其他皮肤病混淆，如大疱性表皮松解症和儿童慢性大疱性疾病。关于婴儿型大疱性类天疱疮独特临床表现的文献似乎很少。在本报告中，我们描述了一例婴儿型大疱性类天疱疮病例，该病例表现为广泛分布的紧张性水疱，包括许多唇部水疱。皮疹最初于四天前出现在该患者的太阳穴和耳部。我们认为该病例将引起关注，因为它展示了一种具有不寻常临床表现的罕见婴儿疾病。对于出现紧张性水疱的患者，考虑婴儿型大疱性类天疱疮并启动适当的诊断研究很重要。
