LB777 Atypical presentation of Bullous Pemphigoid unmasked by radiation therapy

This is a rare case of a 73-year-old female who developed generalized classic bullous pemphigoid (BP), likely from smoldering pre-bullous or eczematous BP, during radiation therapy (RT) for breast cancer. Prior to RT for invasive ductal carcinoma of the right breast, the patient was referred to dermatology for a chronic pruritic rash. Given the pruritic erythematous papules with overlying erosions, excoriations, and white atrophic scars on her chest, back, arms and legs that had been present for several years without specific triggers, she was diagnosed with prurigo simplex with non-specific eczematous dermatitis and prescribed 0.1% triamcinolone cream BID.
Source: Journal of Investigative Dermatology - Category: Dermatology Authors: Source Type: research