BULLOUS PEMPHIGOID IN A CHILD

By Gary M. White, MD

Bullous Pemphigoid in a child Bullous pemphigoid on the vulva and perianal area of a 6 year old girl.


Rarely, bullous pemphigoid (BP) may occur in a child. There are two peaks, one in the first year of life and the other, at around age 8.

Clinical

Urticarial plaques and tense bulla as seen in classic BP occur. It is said that infants are more likely to have facial and acral involvement.

Treatment

Childhood BP tends to respond well to topical or systemic steroids and is generally self-limited. Only rarely are other drugs such as dapsone, azathioprine, cyclosporin, IVIG and mycophenolate mofetil needed.

Additional Pictures

Bullous Pemphigoid in a child

References

JEADV 2016;30;330

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