Brazen Brett, Kidron Ariel, Sheikh Zakaria, Kamatgi Vikeerna, Htoo Sann
Dermatology, Aventura Hospital and Medical Center, Aventura, USA.
Emergency Medicine, Nova Southeastern University Kiran C. Patel College of Osteopathic Medicine, Fort Lauderdale, USA.
Cureus. 2022 Jun 10;14(6):e25806. doi: 10.7759/cureus.25806. eCollection 2022 Jun.
Bullous pemphigoid (BP) is an autoimmune subepidermal blistering pathology characterized by the development of pruritic, tense bullae and blisters on the lower extremities, axilla, and trunk. Its dermatopathology entails autoantibodies that target hemidesmosomes located in the basement membrane. The disease typically manifests in individuals over 50 years old with a higher prevalence in patients with concurrent neurological or dermatological autoimmune diseases. In this report, we discuss a case of a 67-year-old male who presented with a one-month history of itchy blisters occurring bilaterally in the lower extremities. The manifestation of BP, its pathophysiology, and treatment modalities are explored, We also engage in a review of the relevant literature.
大疱性类天疱疮(BP)是一种自身免疫性表皮下大疱性疾病,其特征为下肢、腋窝和躯干出现瘙痒性、紧张性大疱和水疱。其皮肤病理学表现为针对位于基底膜的半桥粒的自身抗体。该疾病通常发生于50岁以上人群,在并发神经或皮肤自身免疫性疾病的患者中患病率更高。在本报告中,我们讨论了一例67岁男性患者,其双下肢出现瘙痒性水疱已有1个月病史。探讨了大疱性类天疱疮的表现、病理生理学及治疗方式,我们还对相关文献进行了综述。