Bullosis diabeticorum: Difference between revisions
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[[File:PMC3479936 CRIM.ENDOCRINOLOGY2012-367218.001.png|thumb]] | [[File:PMC3479936 CRIM.ENDOCRINOLOGY2012-367218.001.png|thumb]] | ||
[[File:PMC4251093 CRIE2014-862912.001.png|thumb]] | [[File:PMC4251093 CRIE2014-862912.001.png|thumb]] | ||
*Discrete patch(es) of pruritic bullae, which usually erupt quickly. | *Discrete patch(es) of [[pruritus|pruritic]] [[bullous rashes|bullae]], which usually erupt quickly. | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
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==Management== | ==Management== | ||
*Supportive | *Supportive | ||
*May give topical antibiotic cream to prevent secondary infection | *May give topical [[antibiotic]] cream to prevent secondary infection | ||
==Disposition== | ==Disposition== | ||
Revision as of 20:16, 27 September 2019
Background
- Rare, idiopathic bullous rash seen in diabetics
- Average age of onset is 55
- 2:1 Male:Female ratio
Clinical Features
Differential Diagnosis
Vesiculobullous rashes
Febrile
- Diffuse distribution
- Varicella (chickenpox)
- Smallpox
- Monkeypox
- Disseminated gonococcal disease
- DIC
- Purpural fulminans
- Localized distribution
Afebrile
- Diffuse distribution
- Bullous pemphigoid
- Drug-Induced bullous disorders
- Pemphigus vulgaris
- Phytophotodermatitis
- Erythema multiforme major
- Bullous impetigo
- Localized distribution
- Contact dermatitis
- Herpes zoster (shingles)
- Dyshidrotic eczema
- Burn
- Dermatitis herpetiformis
- Erythema multiforme minor
- Poison Oak, Ivy, Sumac dermatitis
- Bullosis diabeticorum
- Bullous impetigo
- Folliculitis
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
References
- ↑ Nguyen T and Freedman J. Dermatologic Emergencies: Diagnosing and Managing Life-Threatening Rashes. Emergency Medicine Practice. September 2002 volume 4 no 9.