BULLOUS PEMPHIGOID IN A CHILD
By Gary M. White, MD
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.
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.
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.
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