Bullous pemphigoid mimicking contact dermatitis

Soni, Bhavik P.; McAlvany, Joanne P.; Fleischer, Alan B.; Sherertz, Elizabeth F.

doi:10.1111/j.1600-0536.1996.tb02405.x

Cited by 5 publications

(4 citation statements)

References 5 publications

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“…Interestingly, in a case report BP resembled clinically contact dermatitis, and the patient exhibited positive patch tests for formaldehyde and methylchloroisothiazolinone/methylisothiazolinone. The authors could not offer an explanation of this occurrence …”

Section: Drugs Associated With Bullous Pemphigoidmentioning

confidence: 91%

Drug‐induced pemphigoid: a review of the literature

Stavropoulos

Soura

Antoniou

2014

Acad Dermatol Venereol

227

260

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Bullous pemphigoid is an acquired autoimmune disease that is characterized by subepidermal blistering and affects mainly the elderly. The pathogenesis of the condition has not yet been fully elucidated, but it is widely accepted that a strong correlation with various medications may exist. In reality, more than 50 different drugs have been associated with the appearance of bullous pemphigoid and as new therapies emerge, this number is very likely to increase. A number of pathogenetic mechanisms have been proposed in the past. It is true that a delicate immunological balance is disturbed in all patients with the disease. The variable effects that may be exhibited by the use of biological drugs could shed some light in this complex immunological behaviour. At the same time, drug-induced bullous pemphigoid is difficult to differentially diagnose from its idiopathic counterpart, as the clinical picture and histopathological findings in both conditions may only have subtle differences. Patients who present with bullous pemphigoid and receive multiple regimens should always be suspected of suffering from the drug-induced variant of the condition. This possibility must be considered, as after the withdrawal of the suspect medication most patients respond rapidly to treatment and do not experience relapses.

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Section: Drugs Associated With Bullous Pemphigoidmentioning

confidence: 91%

Drug‐induced pemphigoid: a review of the literature

Stavropoulos

Soura

Antoniou

2014

Acad Dermatol Venereol

227

260

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“…The patient, albeit an expert diver, did not consider this risk, probably because he mistook Octopus apollyon for Octopus vulgaris. Usually the octopus immobilizes its prey, and while it bites, injects toxic secretions produced by the posterior salivary glands, composed of serotonin, other amines (tyramine, metatyramine, dopamine, octopamine and histamine) and cefalotoxin (2)(3)(4). Octopus bite is not in itself a dangerous event (a star-like lacerated and contused wound with swelling borders in association with instantaneous pain) except for the bite of the blue-ringed octopus (Hapalochlaena maculosa), whose poison is considered lethal for humans (mortality rates ±25%) (5)(6)(7)(8).…”

Section: Discussionmentioning

confidence: 99%

Benign familial chronic pemphigus (Hailey‐Hailey) provoked by contact sensitivity in 2 patients

Pónyai¹,

Kárpáti²,

E³

et al. 1999

Contact Dermatitis

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Section: Discussionmentioning

confidence: 99%

“…The differential diagnosis of CD is extensive and includes tinea infections, 3 cutaneous T cell lymphomas including Sézary syndrome, DH, PRP, and other conditions, such as atopic dermatitis, seborrheic dermatitis, psoriasis, drug eruption, lichen simplex chronicus, dyshydrotic eczema, and bullous pemphigoid. 4,5 Although CD is very common, it is important to rule out the other conditions before making a definitive diagnosis. Specifically, one must consider the morphology, lesion distribution, biopsy findings, proportion of body involvement, and response to corticosteroids in each case.…”

Section: Discussionmentioning

confidence: 99%

Contact Dermatitis Mimickers: A Tertiary Care Center's Experience

2013

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Background: Contact dermatitis (CD) is very common but can be mimicked by numerous dermatologic conditions. Thus, a wide differential must be considered before a definitive diagnosis of CD is made to ensure the patient receives appropriate treatment and follow-up.Objective: To describe conditions that can present similarly to contact dermatitis. Methods: We retrospectively analyzed patients referred to the Occupational Disease Specialized Program at St. Michael's Hospital in Toronto between 2009 and 2011 for CD investigations but with a final diagnosis other than CD.Results: We report cases of 2 feet-1 hand syndrome, Dermatitis Herpetiformis, Sé zary syndrome and two cases of Pityriasis Rubra Pilaris misdiagnosed as CD and referred for patch testing at our busy tertiary care centre. Failing to recognize these mimickers of CD resulted in a significant delay in diagnosis for the patients and resulting initiation of necessary intervention.Conclusions: It is important to consider numerous mimickers before making a diagnosis of CD to ensure optimal outcome for patients.Contexte: La dermatite de contact (DC) est une affection trè s fré quente, qui peut simuler bien d'autres affections cutané es. Aussi

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Bullous pemphigoid mimicking contact dermatitis

Cited by 5 publications

References 5 publications

Drug‐induced pemphigoid: a review of the literature

Drug‐induced pemphigoid: a review of the literature

Benign familial chronic pemphigus (Hailey‐Hailey) provoked by contact sensitivity in 2 patients

Contact Dermatitis Mimickers: A Tertiary Care Center's Experience

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