RT Journal Article
SR Electronic
T1 Severe bullous pemphigoid with excoriation disorder
JF BMJ Case Reports
JO BMJ Case Reports
FD BMJ Publishing Group Ltd
SP e250285
DO 10.1136/bcr-2022-250285
VO 15
IS 9
A1 McGowan, Kaitlin
A1 Poos, Stephen
A1 Vo, Nguyen
YR 2022
UL http://casereports.bmj.com/content/15/9/e250285.abstract
AB Bullous pemphigoid is the most common autoimmune blistering skin disease. Pathogenesis involves autoantibodies that attack the basement membrane, resulting in blisters and intense pruritus. We present a case of bullous pemphigoid with concurrent excoriation disorder in a woman in her 50s. The suspected diagnosis of bullous pemphigoid was confirmed through direct immunofluorescence testing on a specimen obtained via punch biopsy, then treated with vancomycin and steroids. In addition, cross tapering from duloxetine to fluoxetine was used to treat the patient’s excoriation disorder. The concurrent dermatological and psychiatric components, as well as the severity, made this case unique.