A Geriatric Patient with Bullous Pemphigoid Limited to a Surgical Intervention Area

Lieten S1,2*, Faict S2 , de Coninck A3 , Debain A1 , Bravenboer B1,4, Scheerlinck T2 and Mets T1

1 Department of Geriatrics, UZ Brussel, Belgium 2 Department of Orthopedic Surgery, UZ Brussel, Belgium 3 Department of Dermatology and Dermatopathology, UZ Brussel, Belgium 4 Department of Endocrinology, UZ Brussel, Belgium

^*Correspondance to: Lieten S 

 PDF  Full Text DOI: 10.25107/2474-1647.3141

Abstract

Background: Bullous Pemphigoid (BP) is uncommon, but becomes more frequent at older age (mainly >70 y). Case Report: We report a 78-year-old woman who developed blisters, limited to the site of an orthopedic surgical area, occurring one week after the intervention. BP was confirmed by histology but immunofluorescence studies were negative. Risk factors for BP were old age, and the use of a loop diuretic and a dipeptidyl peptidase-4 inhibitor. The course was benign with a good response upon topical steroid therapy. Conclusion: In the literature, localized cases of BP are reported that occurred, either around surgical wounds, or after topical iodine application. In our patient, the operation area had been disinfected with IsobetadineR (Povidone-Iodine hydroalcoholic solution 5%) and had been protected with OpsiteR adhesive film.

Keywords

Bullous Pemphigoid; Immunofluorescence; Eosinophils

Cite the article

Lieten S, Faict S, de Coninck A, Debain A, Bravenboer B, Scheerlinck T, et al. A Geriatric Patient with Bullous Pemphigoid Limited to a Surgical Intervention Area. Clin Surg. 2021; 6: 3141..