Plastic and Reconstructive Surgery, Global Open (Aug 2021)

Lower Extremity Salvage in the Setting of Bullous Pemphigoid Exacerbation: A Case Report

  • Samara E. Pollock, MD,
  • Shauna M. Rice, BS,
  • Sarah D. Ferree, MD,
  • Jonathan Friedstat, MD, MPH,
  • Kyle Eberlin, MD,
  • Arianne S Kourosh, MD MPH

DOI
https://doi.org/10.1097/GOX.0000000000003722
Journal volume & issue
Vol. 9, no. 8
p. e3722

Abstract

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Summary:. Bullous pemphigoid is an autoimmune blistering disease where patients suffer from painful bullae, often covering large portions of the skin and requiring management with immune-suppression. Our case report of recurring bullous pemphigoid illustrates the importance of considering immunosuppressive perioperative management in patients with a history of autoimmune blistering even when the disease has been quiescent for some time. With multidisciplinary care and immune suppressive therapies in the perioperative period, a free flap complicated by recurrent bullous pemphigoid can be salvaged.