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Bullous Pemphigoid in an Infant: A Case Report

Published online by Cambridge University Press:  22 June 2018

Oscar Thabouillot*
Affiliation:
Pediatric Emergency Department, Robert Debré Teaching Hospital, Paris, France Bégin Military Teaching Hospital, Saint-Mandé, France
Julien Le Coz
Affiliation:
Pediatric Emergency Department, Robert Debré Teaching Hospital, Paris, France
Nicolas-Charles Roche
Affiliation:
Bégin Military Teaching Hospital, Saint-Mandé, France
*
Correspondence: Oscar Thabouillot Pediatric Emergency Department Robert Debré Teaching Hospital Paris, France E-mail: [email protected]

Abstract

A seven-month-old girl was referred to the emergency department (ED) after a general practitioner suspected Steven-Johnson syndrome. Actually, the diagnosis of bullous pemphigoid (BP) was made based on biopsies; BP is a rare, autoimmune skin disease involving the presence of blisters known as bullae. The child was efficiently treated with topical steroids. This case shows the importance of the ED physician’s prior knowledge of BP so that a differential diagnosis with other autoimmune diseases (dermatosis, pemphigus) can be made.

Thabouillot O, Le Coz J, Roche NC. Bullous pemphigoid in an infant: a case report. Prehosp Disaster Med. 2018;33(4):448–450.

Type
Case Report
Copyright
© World Association for Disaster and Emergency Medicine 2018 

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Footnotes

Conflicts of interest: none

References

1. Kong, YL, Lim, YL, Chandran, NS. Retrospective study on autoimmune blistering disease in paediatric patients. Pediatr Dermatol. 2015;32(6):845-852.Google Scholar
2. Waisbourd-Zinman, O, Ben-Amitai, D, Cohen, AD, et al. Bullous pemphigoid in infancy: clinical and epidemiologic characteristics. J Am Acad Dermatol. 2008;58(1):41-48.Google Scholar
3. Akin, MA, Gunes, T, Akýn, L, et al. A newborn with bullous pemphigoid associated with linear IgA bullous dermatosis. Acta Dermatovenerol Alp Pannonica Adriat. 2009;18(2):66-70.Google Scholar
4. Joly, P, et al. Haute Autorité de Santé. April 2016. Protocole national de diagnostic et de soins de la pemphigoïde bulleuse. http://www.has-sante.fr/portail/upload/docs/application/pdf/2016-06/pnds_-_pemphigoide_bulleuse_pb.pdf [in French]. Accessed December 1, 2017.Google Scholar
5. Fine, JD. Clinical and immunological factors associated with bullous pemphigoid relapse. JAMA Dermatol. 2014;150(1):34.Google Scholar
6. Ister, M, Pouessel, G, Ythier, H, et al. Post-vaccinal, corticosteroid-resistant bullous pemphigoid in infancy: treatment with intravenous immunoglobulin. Pediatr Dermatol. 2014;31(4):e94-e95.Google Scholar
7. Seminario-Vidal, L, Sami, N, Miller, J, et al. Mycophenolate mofetil therapy for pediatric bullous pemphigoid. Dermatol Online J. 2015;21(8).Google Scholar
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