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An Unusual Ten-Like Presentation of Juvenile Bullous Pemphigoid: A Diagnostic Challenge Publisher



Nikyar Z1, 2 ; Hatami P1 ; Aryanian Z1, 3 ; Sotoudeh S4 ; Ziaee V5, 6 ; Goodarzi A7, 8
Authors
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Authors Affiliations
  1. 1. Autoimmune Bullous Diseases Research Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Dermatology, Skin Diseases and Leishmaniasis Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
  3. 3. Department of Dermatology, Babol University of Medical Sciences, Babol, Iran
  4. 4. Department of Dermatology, Children's Medical Center, Center of Excellence, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Pediatric Rheumatology Research Goroup, Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Pediatrics, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Department of Dermatology, Rasool Akram Medical Complex Clinical Research Development Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
  8. 8. Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran, Iran

Source: Case Reports in Dermatological Medicine Published:2022


Abstract

Bullous pemphigoid (BP) is an acquired autoimmune bullous disorder rarely seen in the pediatric population. It usually presents as large and tense bullae, predominantly distributed in the acral areas. Herein, we describe a case of childhood BP with an atypical presentation mimicking toxic epidermal necrolysis (TEN). This case shows us that juvenile BP should be considered in the differential diagnosis of TEN in children, particularly if there are unusual features and an intractable course. © 2022 Zahra Nikyar et al.
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