Esophageal Bullous Pemphigoid

Castelo Branco, Catarina and Fonseca, Tomás and Marcos-Pinto, Ricardo (2022) Esophageal Bullous Pemphigoid. European Journal of Case Reports in Internal Medicine, 9 (1). pp. 1-3. ISSN 2284-2594

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Bullous pemphigoid is a rare autoimmune dermatologic disease that usually occurs in the elderly. Mucous membrane lesions occur in about 10–35% of patients and are almost always limited to the oral mucous membrane. Esophageal involvement is very rare (4% of cases) and usually presents with chest pain, dysphagia, and odynophagia, though patients are frequently asymptomatic. We report the case of newly diagnosed bullous pemphigoid in a 76-year-old man with a past medical history of dementia. He presented with cutaneous manifestations but also severe gastrointestinal bleeding due to extensive esophageal involvement. Although bullous pemphigoid is mainly a skin disease, mucous membrane lesions should not be overlooked as they are associated with an even poorer outcome. A high index of suspicion for esophageal involvement is needed as its presentation can be fatal, as with our patient.

Item Type: Article
Uncontrolled Keywords: Bullous pemphigoid, esophagus, dementia
Subjects: 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici)
Depositing User: Marina Spanti
Date Deposited: 15 Mar 2022 17:03
Last Modified: 15 Mar 2022 17:03

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