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Bullous Pemphigoid

Signs & Symptoms

 Oral mucosa involvment #MMP
Ref: Epocrates [ Clinical features and diagnosis of bullous pemphigoid and mucous membrane pemphigoid]
Buccal mucosae involvment #MMP
Ref: Epocrates [ Clinical features and diagnosis of bullous pemphigoid and mucous membrane pemphigoid]
Ocular conjunctiva involvement #MMP
Ref: Epocrates [ Clinical features and diagnosis of bullous pemphigoid and mucous membrane pemphigoid]
Gingival involvment #MMP
Ref: Epocrates [ Clinical features and diagnosis of bullous pemphigoid and mucous membrane pemphigoid]

Physical Examination

 Leaving eroded base
Ref: Hbif [ 649]
Mucosal fibrosis #MMP
Note: Often are present at sites of healed lesions
Ref: Epocrates [ Clinical features and diagnosis of bullous pemphigoid and mucous membrane pemphigoid]
White striations #MMP
Note: Often are present at sites of healed lesions
Ref: Epocrates [ Clinical features and diagnosis of bullous pemphigoid and mucous membrane pemphigoid]

Lab / Serology

 Positive ELISA for BP
Note: For BP 180 and 230 autoantibodies
Ref: Hbif [ 649]
Positive ELISA for desmoglein
Note: 1 and 3 autoantibodies
Ref: Hbif [ 649]

Imagin Study

Complication

 Internal malignancy
Note: Ass with MMP
Ref: Uptodate [ Clinical features and diagnosis of bullous pemphigoid and mucous membrane pemphigoid]

Risk Factors

Cause

Other