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Case Reports
. 2019 Aug 13;11(8):e5376.
doi: 10.7759/cureus.5376.

Edematous Bullae: An Atypical Presentation of Reperfusion Injury. A Discussion of Ischemic-reperfusion Injury and Presentation of an Atypical Case

Manick Saran  1 , Sean Malarkey  2
Affiliations
Case Reports

Edematous Bullae: An Atypical Presentation of Reperfusion Injury. A Discussion of Ischemic-reperfusion Injury and Presentation of an Atypical Case

Manick Saran et al. Cureus. .

Abstract

There is vast literature on the topic of ischemia-reperfusion injury. A summative discussion of the complex pathogenicity will aid practicing physicians in diagnosis and management. We offer a review of this literature as well as a discussion on a rare case of tense edematous bullae as a presentation of ischemia-reperfusion injury. A 65-year-old male underwent a right femoropopliteal bypass for rest pain that had not improved after iliac stent placement. He presented three days after discharge with blistering lesions on the reperfused limb that resembled bullous pemphigoid. This case describes the variability in the presentation of reperfusion injury, as well as the necessity to educate those managing atypical presentations of reperfusion injury.

Keywords: femoropopliteal bypass; ischemia-reperfusion; peripheral artery disease; vesicles and bullae.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Edematous lesions
Pane 1, Initial presentation; Pane 2, One-week follow-up; Pane 3, Two-week follow-up.
See this image and copyright information in PMC

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