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Updated: Nov 21, 2025

Granulocyte-dependent Autoantibody-induced Skin Blistering
Published on: October 12, 2012
Vancomycin-induced linear IgA bullous dermatosis
Claire J Wiggins1, Susan Y Chon1
1Department of Dermatology, MD Anderson Cancer Center, Houston, Texas.
Linear IgA bullous dermatosis (LABD) is a rare skin reaction to vancomycin. Early recognition and stopping the drug are key to managing this severe side effect.
Area of Science:
- Dermatology
- Pharmacology
Background:
- Adverse medication side effects are frequent in hospitalized patients due to polypharmacy.
- Linear IgA bullous dermatosis (LABD) is a recognized, albeit uncommon, cutaneous drug reaction.
Observation:
- A 66-year-old male patient developed LABD while receiving vancomycin.
- The patient presented with severe blistering skin lesions characteristic of LABD.
Findings:
- Vancomycin was identified as the likely causative agent for the patient's LABD.
- Discontinuation of vancomycin and supportive care led to symptom improvement.
Implications:
- This case highlights the importance of considering vancomycin-induced LABD in patients with unexplained bullous eruptions.
- Prompt recognition and removal of the offending agent are crucial for effective management of drug-induced LABD.
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