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Stoma-Related Bullous Pemphigoid: Case Report and Literature Review
Igor Melnychuk1,2,3, Julia Juriga4, Betty Bellman5
1Wound Care Department, Charles George VA Medical Center, Asheville, NC.
Advances in Skin & Wound Care
|April 27, 2026
Summary
A rare case of bullous pemphigoid, a blistering skin condition, was observed in a stoma patient. This condition initially appeared around the stoma before spreading, highlighting atypical peristomal skin complications.
Area of Science:
- Dermatology
- Gastroenterology
- Surgical complications
Background:
- Peristomal skin complications are frequent in ostomy patients.
- Common causes include contact dermatitis from pouching systems.
- Atypical presentations, like vesicular eruptions, can occur due to surgical trauma.
Purpose of the Study:
- To report a case of bullous pemphigoid localized to the peristomal area.
- To discuss this rare presentation in the context of existing literature.
- To raise awareness of atypical peristomal skin issues.
Main Methods:
- Case report of a 73-year-old patient with peristomal bullous pemphigoid.
- Literature review of stoma-related bullous pemphigoid.
- Clinical observation and progression of the skin eruption.
Main Results:
- Bullous pemphigoid initially presented in the peristomal region.
- The condition subsequently generalized to the trunk and extremities.
- This case represents a rare but significant atypical peristomal skin complication.
Conclusions:
- Bullous pemphigoid can manifest as an atypical peristomal skin complication post-ostomy.
- Early recognition and diagnosis are crucial for appropriate management.
- Further research into rare stoma-related dermatoses is warranted.
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