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Bullosis diabeticorum
From WikEM
Contents
Background
- Idiopathic bullous rash seen in diabetics but rarely.
- Average age of onset is 55
- 2:1 Male:Female ratio
Clinical Features
- Discrete patch(es) of pruritic bullae, which usually erupt quickly.
Differential Diagnosis
Vesiculobullous rashes
Febrile
- Diffuse distribution
- Varicella
- Smallpox
- Disseminated gonococcal disease
- DIC
- Purpural fulminans
- Localized distribution
Afebrile
- Diffuse distribution
- Bullous pemphigoid
- Drug-Induced bullous disorders
- Pemphigus vulgaris
- Phytophotodermatitis
- Erythema multiforme major
- Localized distribution
- Contact dermatitis
- Herpes zoster
- Dyshidrotic eczema
- Burn
- Dermatitis herpetiformis
- Erythema multiforme minor
- Poison Oak, Ivy, Sumac dermatitis
- Bullosis diabeticorum
Evaluation
- Rule out life-threatening etiology
- Evaluate for nephropathy
Rash Red Flags[1]
- Fever
- Toxic appearance
- Hypotension
- Mucosal lesions
- Severe pain
- Very old or young age
- Immunosuppressed
- New medication
Management
- Supportive
- May give topical antibiotic cream to prevent secondary infection
Disposition
- Discharge
See Also
External Links
www.uptodate.com
References
- ↑ Nguyen T and Freedman J. Dermatologic Emergencies: Diagnosing and Managing Life-Threatening Rashes. Emergency Medicine Practice. September 2002 volume 4 no 9.
