BULLOUS PEMPHIGOID IN PEDIATRICS. ABOUT A CASE

Abstract

Bullous pemphigoid is a rare autoimmune disease in the pediatric age, and autoantibodies in the area of the epithelial basal membrane characterize it. This disease has been related to the ingestion of drugs, autoimmune processes, and the administration of vaccines with the onset of the lesions up to 4 weeks after the predisposing factor. Its treatment is based on immunosuppressive and anti-inflammatory drugs, having a good prognosis that is better than the variety of adult patients.

A male schoolboy was admitted due to the presence of bullous lesions on his hands and feet. The result of the first biopsy was severe dyshidrotic eczema. He received oral corticosteroids, was treated by plastic surgery, and also received intravenous antibiotic therapy, with notable improvement in lesions in two weeks. He presented a worsening of the condition with the appearance of new generalized lesions at the level of the trunk, flexural areas, and acral regions of the hands and feet characterized by large tense blisters with serosanguineous content, pruritic, and painful to manipulation.