Localised bullous pemphigoid overlying knee arthroplasty: a diagnostic challenge.

Authors:
Susan Gardner
Susan Gardner
Centro de Investigaciones Biológicas del Noroeste
Mexico
Robert Harvey
Robert Harvey
Case Western Reserve University
United States

BMJ Case Rep 2019 Apr 5;12(4). Epub 2019 Apr 5.

Department of Surgery, Arrowe Park Hospital, Wirral, UK.

An elderly Caucasian woman developed bullous pemphigoid (BP) overlying the site of total knee arthroplasty for osteoarthritis 2 days after surgery. The clinical findings were consistent with blistering due to soft tissue swelling, bullous impetigo or allergic contact dermatitis. The blistering spread over weeks to months down the ipsilateral leg and then to the other leg and hips. A biopsy for H&E and direct immunofluorescence established the diagnosis of BP. A concomitantly occurring wound infection was identified and treated. The blistering responded well to superpotent topical steroids and local care.

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Source
http://dx.doi.org/10.1136/bcr-2018-227440DOI Listing
April 2019
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References

(Supplied by CrossRef)
Preventing postoperative blisters following hip and knee arthroplasty
Johansson et al.
Wounds International 2012
Localized bullous pemphigoid on the site of knee arthroplasty: a case report
Kosi et al.
Serbian Journal of Dermatology and Venereology 2016
Trauma-induced bullous pemphigoid
Korfitis et al.
Indian J Dermatol Venereol Leprol 2009

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