Bullous Pemphigoid in an Infant: A Case Report

2018 ◽  
Vol 33 (4) ◽  
pp. 448-450 ◽  
Author(s):  
Oscar Thabouillot ◽  
Julien Le Coz ◽  
Nicolas-Charles Roche
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Case Report ◽  
General Practitioner ◽  
Prior Knowledge ◽  
Bullous Pemphigoid ◽  
Skin Disease ◽  
Topical Steroids ◽  
Johnson Syndrome ◽  
Steven Johnson Syndrome

AbstractA seven-month-old girl was referred to the emergency department (ED) after a general practitioner suspected Steven-Johnson syndrome. Actually, the diagnosis of bullous pemphigoid (BP) was made based on biopsies; BP is a rare, autoimmune skin disease involving the presence of blisters known as bullae. The child was efficiently treated with topical steroids. This case shows the importance of the ED physician’s prior knowledge of BP so that a differential diagnosis with other autoimmune diseases (dermatosis, pemphigus) can be made.Thabouillot O, Le Coz J, Roche NC. Bullous pemphigoid in an infant: a case report. Prehosp Disaster Med. 2018;33(4):448–450.

scholarly journals Bullous pemphigoid in 65 years old female: a case report

2019 ◽  
Vol 1 (2) ◽  
Author(s):  
I Dewa Made Rendy Sanjaya ◽  
Putu Artana ◽  
Embun Dini Hari
Keyword(s):  
Case Report ◽  
Bullous Pemphigoid ◽  
Skin Disease ◽  
Autoimmune Disorder ◽  
Good Prognosis ◽  
Topical Steroids ◽  
Current Case ◽  
Chief Complaints ◽  
Intravenous Steroids ◽  
Over Time

Introduction: Bullous pemphigoid is an autoimmune disorder. The incidence of bullous pemphigoid has increased over time, current understanding regarding treatment and complication is an important issue considering the disease often occur in elderly resulting in high rates of morbidity to the patients. Aim of current case report is to describe the clinical relevance regarding symptom and treatment of bullous pemphigoid.Case presentation: A 65 years old female patient, came with chief complaints of bullae in abdominal region with itching and burning sensation in the ruptured bullae. Over time bullae spread in lower and upper extremity. Patient was admitted for four days with therapy intravenous steroids, oral antihistamine, and potent topical steroids. Patient was discharged from hospital in well condition.Conclusion: Bullous pemphigoid is an inflammatory autoimmune skin disease and usually result in good prognosis with adequate management.Keywords: autoimmune, bullous, pemphigoid, skin, disease. 

Pemphigoid Nodularis

2015 ◽  
Vol 19 (2) ◽  
pp. 153-155 ◽  
Author(s):  
Waleed Al-Salhi ◽  
Ru'aa Alharithy
Keyword(s):  
Differential Diagnosis ◽  
Case Report ◽  
Effective Treatment ◽  
Bullous Pemphigoid ◽  
Clinical Features ◽  
Rare Variant ◽  
Early Recognition ◽  
Prurigo Nodularis ◽  
Clinical Variant ◽  
Pemphigoid Nodularis

Background Pemphigoid nodularis is a rare clinical variant of bullous pemphigoid characterized by overlapping clinical features of both prurigo nodularis lesions and bullous pemphigoid blisters. The condition appears to be more common in females and is often resistant to treatment. Objective To raise awareness of this rare variant of bullous pemphigoid. Methods Case report. Results and Conclusion Dermatologists should include this variant in differential diagnosis of prurigo nodularis because early recognition can lead to an effective treatment for the prurigo component.

Unrecognized acute lithium toxicity: a case report

Open Medicine ◽  
2012 ◽  
Vol 7 (6) ◽  
pp. 700-703 ◽  
Author(s):  
Dragana Ristic ◽  
Marianna Siapera ◽  
Jelena Jovic ◽  
Vesna Marjanovic ◽  
Milan Radovanovic ◽  
...  
Keyword(s):  
Emergency Department ◽  
Differential Diagnosis ◽  
Case Report ◽  
Renal Insufficiency ◽  
Sufficient Information ◽  
Lithium Toxicity ◽  
Neurologic Symptom ◽  
Severe Renal Insufficiency ◽  
Previous Medication ◽  
Acute Lithium

AbstractWe report a case of a 63-year-old male who has been admitted to the Emergency department with nonspecific symptoms. Lithium toxicity was not at first recognized. When we obtained sufficient information about previous medication and medical history, we measured lithium levels found to be 1.46 mmol/L. Although the value of lithium was mildly elevated, nephrotoxicity was produced leading to severe renal insufficiency and neurological symptoms. Hemodialysis was started, and we succeed to treat the patient without squeals. This case illustrates some of the factors that lead to lithium toxicity as well as the need to consider lithium toxicity to the differential diagnosis of a patient presenting with renal insufficiency with or without change in mental status and neurologic symptom.

scholarly journals Botfly myiasis: a case report

CJEM ◽  
2007 ◽  
Vol 9 (05) ◽  
pp. 380-382 ◽  
Author(s):  
Ken G. Ofordeme ◽  
Linda Papa ◽  
Daniel F. Brennan
Keyword(s):  
Emergency Department ◽  
Emergency Medicine ◽  
Differential Diagnosis ◽  
Case Report ◽  
Skin Lesion ◽  
Parasitic Infestation ◽  
Forested Areas ◽  
Endemic Areas ◽  
Furuncular Myiasis ◽  
New Skin

ABSTRACT Cutaneous infestation by the human botfly, Dermatobia hominis, results in furuncular myiasis. This condition is endemic to the forested areas of Mexico, Central and South America. However, because of widespread travel, furuncular myiasis has become more common in North America. Misdiagnosis and mismanagement can occur owing to limited awareness of the condition outside endemic areas. To our knowledge, there is only a single report of botfly myiasis in the recent emergency medicine literature, which is surprising since the emergency department is likely to be the place many patients with this condition first seek attention. We present and discuss the case of a 50-year-old man with furuncular myiasis acquired in Belize. Parasitic infestation should be included in the differential diagnosis of a new skin lesion in patients who have travelled to endemic areas.

scholarly journals Bilateral Blindness Due to Acute Isolated Sphenoid Sinusitis- Is It Reversible? A Case Report

2014 ◽  
Vol 15 (2) ◽  
pp. 146-148
Author(s):  
Roshan Kumar Verma ◽  
Naresh K Panda
Keyword(s):  
Computed Tomography ◽  
Emergency Department ◽  
Differential Diagnosis ◽  
Case Report ◽  
Early Diagnosis ◽  
Paranasal Sinuses ◽  
Sphenoid Sinus ◽  
Vision Loss ◽  
Clinical Presentation ◽  
Sphenoid Sinusitis

Acute isolated sphenoid sinusitis is a rare and is seen in only 3% of all cases of all sinusitis. It is frequently misdiagnosed because of its vague clinical presentation. We report a case of 35year old female who presented to our emergency department with complaints of painless rapidly developing bilateral vision loss. Non contrast computed tomography of paranasal sinuses showed only mild opacification of sphenoid sinus. Endoscopic sphenoidectomy was performed within 4 hrs of presentation. After 48 hrs of surgery the patient vision returned to 6/6 bilaterally. Acute sphenoid sinusitis should be considered in the differential diagnosis of acute vision loss. Awareness, early diagnosis, astute clinical sense and emergent intervention can prevent permanent complication.DOI: http://dx.doi.org/10.3329/jom.v15i2.20700 J MEDICINE 2014; 15 : 146-148

scholarly journals Pulmonary Embolism - A Case Report

2017 ◽  
Vol 12 (1) ◽  
pp. 40-44
Author(s):  
Samsun Nahar ◽  
Momenuzzaman ◽  
Fatema Begum ◽  
KN Khan ◽  
Quazi Anisuzzaman ◽  
...  
Keyword(s):  
Emergency Department ◽  
Pulmonary Embolism ◽  
Differential Diagnosis ◽  
Case Report ◽  
Early Diagnosis ◽  
Diagnosis And Treatment ◽  
The Past ◽  
Incidental Discovery

PE remains a clinically challenging diagnosis, more often missed than found, with no decline in its incidental discovery at autopsy over the past 30 years. Pulmonary embolism should be considered in the differential diagnosis of every dyspnoea event that presents at an emergency department. We describe a case of 68 years old man with symptoms of dyspnoea who later diagnosed as pulmonary embolism. This case report emphasizes early diagnosis and treatment to avoid fatal outcome.University Heart Journal Vol. 12, No. 1, January 2016; 40-44

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