alexa A Case of Psoriasis Vulgaris Coexisting with Bullous Pe
ISSN: 2155-9554

Journal of Clinical & Experimental Dermatology Research
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Case Report

A Case of Psoriasis Vulgaris Coexisting with Bullous Pemphigoid and Eosinophilia in a 69-year-old Male with Diabetes Mellitus and Chronic Renal Failure

Keiji Sugiura1,2*, Mariko Sugiura1,2, Chika Kondo3 and Tetsuhiko Sato4

1Department of Environmental Dermatology & Allergology, Daiichi Clinic, Nittochi Nagoya Bld., 2F, 1-1 Sakae 2, Nakaku, Nagoya, Japan

2Department of Dermatology and Allergy, Masuko Memorial Hospital, 35-28 Takehashicho, Nakamuraku, Nagoya, Japan

3Department of Nephrology, Masuko Memorial Hospital, 35-28 Takehashicho, Nakamuraku, Nagoya, Japan

4Division of Diabetes and Endocrinology, Masuko Memorial Hospital, 35-28 Takehashicho, Nakamuraku, Nagoya, Japan

*Corresponding Author:
Keiji Sugiura
Department of Environmental Dermatology & Allergology
Daiichi Clinic, Nittochi Nagoya Bld., 2F, 1-1 Sakae 2
Nakaku, Nagoya, 468-0008, Japan
Tel: 81522040834
E-mail: [email protected]

Received date: May 22, 2017; Accepted date: June 07, 2017; Published date: June 09, 2017

Citation: Sugiura K, Sugiura M, Kondo C, Sato T (2017) A Case of Psoriasis Vulgaris Coexisting with Bullous Pemphigoid and Eosinophilia in a 69-year-old Male with Diabetes Mellitus and Chronic Renal Failure . J Clin Exp Dermatol Res 8:1000400. doi: 10.4172/2155-9554.1000400

Copyright: © 2017 Sugiura K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

 

Abstract

A 69-year-old male with CRF due to DM developed PV. This patient suddenly developed bullas and erosions on his arms and thighs which spread to his trunk, neck, limbs, hands and feet after a 4-year history of PV. Our diagnosis was PV coexisting with BP from the results of a skin biopsy and the results of anti-BP 180 and 230 antibodies detection. We started the systemic administration of steroid tablets, but we did not elect immunosuppressive therapies (cyclosporine and methotrexate) because of his hypertension and the risk of malignancy. The treatment of the patient’s DM was modified from oral medicine to insulin injections. After three weeks of treatment, his laboratory results showed the eosinophilia (41.3%), and we increased the dose of steroids (betamethazone 2 mg/day) and anti-histamine tablets. After the 1.5 months of his hospitalization, his cutaneous condition and eosinophilia improved. There could be as many as 100 cases of PV coexisting with BP, and this is a rare case of PV complicated with BP and eosinophilia.

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