A case of bullous pemphigoid in a young adult

Bullous pemphigoid is an autoimmune subepidermal blistering disease mostly seen in the elderly population over 50 years old. We report a case of bullous pemphigoid in a previously well 20-year-old female presenting with a one month history of urticated plaques over the trunk and limbs with both central and peripheral tense vesicles and bullae. Disease control was not achieved with high dose oral prednisolone and topical corticosteroids alone, requiring the addition of mycophenolate mofetil and intravenous immunoglobulin. In young patients, bullous pemphigoid is an uncommon diagnosis and tends to be more severe and refractory to treatment compared to cases seen in elderly patients.

Dr. Su-Lin Chan

Dermatology Department, Sir Charles Gairdner Hospital, Western Australia

Australian dermatology registrar currently completing overseas placement at University College London Hospital, United Kingdom.