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Bullous pemphigoid in infancy: case report and literature review

B Amos1, J S Deng, K Flynn

  • 1Department of Dermatology, University of Pittsburgh, Pennsylvania, USA.

Insights

A 2-month-old infant developed bullous pemphigoid on her hands and feet after routine immunizations. This rare infantile condition requires consideration in diagnosing blisters in infants.

Area of Science:

  • Pediatrics
  • Dermatology
  • Immunology

Background:

  • Bullous pemphigoid (BP) is a rare autoimmune blistering disease.
  • Infantile bullous pemphigoid (IBP) presents differently than adult BP.
  • The etiology of IBP is often unclear, but recent-onset cases suggest potential triggers.

Observation:

  • A 2-month-old female infant presented with blisters on her hands and feet.
  • The onset of symptoms occurred shortly after receiving routine immunizations.
  • The clinical presentation was consistent with infantile bullous pemphigoid.

Findings:

  • Infantile bullous pemphigoid can manifest on the hands and feet.
  • The condition's presentation in infants differs from that in older individuals.
  • Prompt diagnosis is crucial for effective management.

Implications:

  • Infantile bullous pemphigoid should be considered in the differential diagnosis of neonatal and infant blistering disorders.
  • Early recognition and treatment can lead to favorable outcomes.
  • Further research into potential triggers, such as immunizations, is warranted.

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