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A Geriatric Patient with Bullous Pemphigoid Limited to a Surgical Intervention Area
Tijdschriftbijdrage - Tijdschriftartikel
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
Tijdschrift: Clinics in Surgery
ISSN: 2474-1647
Volume: 6
Jaar van publicatie:2021