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Case Reports
. 2013 Jul-Aug;88(4):652-4.
doi: 10.1590/abd1806-4841.20132114.

Case for diagnosis: bullosis diabeticorum

Amanda Nascimento Cavalleiro de Macedo Mota  1 , Natalia Solon Nery, Carlos Baptista Barcaui
Affiliations
Case Reports

Case for diagnosis: bullosis diabeticorum

Amanda Nascimento Cavalleiro de Macedo Mota et al. An Bras Dermatol. 2013 Jul-Aug.

Abstract
in English, Portuguese

We present a case of bullosis diabeticorum. It is a rare disorder, probably underdiagnosed, associated with long-term diabetes mellitus. Its etiology remains unclear. It is characterized by tense blisters, with serous content, recurrent and spontaneous on normal skin especially in the acral regions. Displays self-limiting course. No specific laboratory tests for diagnosis of this bullous disease exist. Clinical and conservative management to prevent secondary infection reduces morbidity in diabetic patients.

Apresenta-se um caso de bulose diabeticorum, que consiste em uma desordem rara de etiologia ainda incerta, provavelmente subdiagnosticada, associada ao diabetes mellitus de longa evolução. Caracteriza-se por bolhas tensas, recorrentes, de conteúdo seroso e aparecimento espontâneo sobre pele pouco inflamada, especialmente nas regiões acrais, que evolui com curso autolimitado. Não há testes laboratoriais específicos para o diagnóstico desta bulose. O reconhecimento clínico e o manejo conservador para evitar infecção secundária reduz a morbidade nos pacientes diabéticos.

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Conflict of interest statement

Conflict of interest: None

Figures

FIGURE 1
FIGURE 1
Presence of tense bubble in the distal phalanx of the second left finger. Absence of cicatricial lesion on the third finger
FIGURE 2
FIGURE 2
Detail of the blister
FIGURE 3
FIGURE 3
Intraepidermal cleavage with few inflammatory cells
See this image and copyright information in PMC

References

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