%0 Journal Article
%T Urticarial Bullous Pemphigoid: A New Case Report
%A Waqas S. Abdulwahhab
%A Fatima M. Al Qaydi
%J Journal of Cosmetics, Dermatological Sciences and Applications
%P 145-152
%@ 2161-4512
%D 2022
%I Scientific Research Publishing
%R 10.4236/jcdsa.2022.123012
%X <strong>Background: </strong>Bullous pemphigoid (BP) is the most common autoimmune bullous disease and it primarily affects the elderly population. It typically presents with tense bullae and severe pruritus. Non-bullous pemphigoid is a subtype of BP characterized by lacking the typical bullae formation with different presentations including erythematous, eczematous, urticarial, polycyclic, targetoid, nodular, lichenoid, vesicular and erythrodermic. <strong>Aim:</strong> to document a new case presentation of urticarial BP who was treated for several years as chronic urticarial and chronic eczema. <strong>Case Report:</strong> A 56-year-old male patient presented with a history of recurrent severely pruritic urticarial wheals for 4 years duration involving the lower abdomen, lower back, upper and lower extremities associated with excoriations, keratosis, and post-inflammatory hyperpigmentations on resolved sites, diagnosed as urticarial BP on histopathology &amp; direct immunofluorescence study (DIF) and was improved on systemic doxycycline therapy. <strong>Conclusion:</strong> BP can be presented with atypical manifestation. Urticarial BP is a rare variant of non-bullous pemphigoid that should be taken into consideration in the differential diagnosis of an atypical urticarial wheal not responding to conventional therapy.
%K Bullous Pemphigoid
%K Non-Bullous Pemphigoid
%K Urticarial Bullous Pemphigoid
%K Direct Immunofluorescence
%K Doxycycline
%U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=119625