Pruritic Vesicular Eruption on the Lower Legs in a Diabetic Female
A 50-year-old diabetic female presented with highly pruritic vesicles and excoriated lesions over the anterior aspect of both lower legs. The lesions were recurrent over the last two years. She received a lot of medications with partial response. Hb A1c was 10.8% (normal up to 7%). CBC showed microc...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Dermatological Medicine |
| Online Access: | http://dx.doi.org/10.1155/2013/641416 |
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| author | Hassan Riad Hamda Al Ansari Khaled Mansour Haya Al Mannai Hussein Al Sada Samya Abu Shaikha Sharifa Al Dosari |
| author_facet | Hassan Riad Hamda Al Ansari Khaled Mansour Haya Al Mannai Hussein Al Sada Samya Abu Shaikha Sharifa Al Dosari |
| author_sort | Hassan Riad |
| collection | DOAJ |
| description | A 50-year-old diabetic female presented with highly pruritic vesicles and excoriated lesions over the anterior aspect of both lower legs. The lesions were recurrent over the last two years. She received a lot of medications with partial response. Hb A1c was 10.8% (normal up to 7%). CBC showed microcytic, hypochromic anemia. Serum zinc, folate, IgE, TSH and T4 were all within normal ranges. Biopsy showed epidermal separation secondary to keratinocyte necrosis and minimal monocytic, perivascular infiltrate. Direct immunofluorescence was negative for intraepidermal and subepidremal deposition of immunoglobulin. The dermis was positive for mucin deposition stainable by both PAS and Alcian blue while it was negative for Congo red and APC immunoperoxidase staining for amyloid material. In conclusion, the case was diagnosed as bullosis diabeticorum by distinctive clinical and pathological features and after exclusion of other possible differentials. Pruritus was partially controlled by topical potent steroid and the case was resolved spontaneously after eight months. |
| format | Article |
| id | doaj-art-7384832063854b14822f1bd796268d84 |
| institution | Kabale University |
| issn | 2090-6463 2090-6471 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dermatological Medicine |
| spelling | doaj-art-7384832063854b14822f1bd796268d842025-02-03T05:51:54ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712013-01-01201310.1155/2013/641416641416Pruritic Vesicular Eruption on the Lower Legs in a Diabetic FemaleHassan Riad0Hamda Al Ansari1Khaled Mansour2Haya Al Mannai3Hussein Al Sada4Samya Abu Shaikha5Sharifa Al Dosari6Dermatology Department, HMC, Doha, QatarDermatology Department, HMC, Doha, QatarDermatology Department, HMC, Doha, QatarDermatology Department, HMC, Doha, QatarDermatology Department, HMC, Doha, QatarDermatology Department, HMC, Doha, QatarDermatology Department, HMC, Doha, QatarA 50-year-old diabetic female presented with highly pruritic vesicles and excoriated lesions over the anterior aspect of both lower legs. The lesions were recurrent over the last two years. She received a lot of medications with partial response. Hb A1c was 10.8% (normal up to 7%). CBC showed microcytic, hypochromic anemia. Serum zinc, folate, IgE, TSH and T4 were all within normal ranges. Biopsy showed epidermal separation secondary to keratinocyte necrosis and minimal monocytic, perivascular infiltrate. Direct immunofluorescence was negative for intraepidermal and subepidremal deposition of immunoglobulin. The dermis was positive for mucin deposition stainable by both PAS and Alcian blue while it was negative for Congo red and APC immunoperoxidase staining for amyloid material. In conclusion, the case was diagnosed as bullosis diabeticorum by distinctive clinical and pathological features and after exclusion of other possible differentials. Pruritus was partially controlled by topical potent steroid and the case was resolved spontaneously after eight months.http://dx.doi.org/10.1155/2013/641416 |
| spellingShingle | Hassan Riad Hamda Al Ansari Khaled Mansour Haya Al Mannai Hussein Al Sada Samya Abu Shaikha Sharifa Al Dosari Pruritic Vesicular Eruption on the Lower Legs in a Diabetic Female Case Reports in Dermatological Medicine |
| title | Pruritic Vesicular Eruption on the Lower Legs in a Diabetic Female |
| title_full | Pruritic Vesicular Eruption on the Lower Legs in a Diabetic Female |
| title_fullStr | Pruritic Vesicular Eruption on the Lower Legs in a Diabetic Female |
| title_full_unstemmed | Pruritic Vesicular Eruption on the Lower Legs in a Diabetic Female |
| title_short | Pruritic Vesicular Eruption on the Lower Legs in a Diabetic Female |
| title_sort | pruritic vesicular eruption on the lower legs in a diabetic female |
| url | http://dx.doi.org/10.1155/2013/641416 |
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