Bullosis diabeticorum

From WikEM
Jump to: navigation, search

Background

  • Rare, idiopathic bullous rash seen in diabetics
  • Average age of onset is 55
  • 2:1 Male:Female ratio

Clinical Features

PMC2802364 IJDDC-29-41-g001.png
PMC3479936 CRIM.ENDOCRINOLOGY2012-367218.001.png
PMC4251093 CRIE2014-862912.001.png
  • Discrete patch(es) of pruritic bullae, which usually erupt quickly.

Differential Diagnosis

Vesiculobullous rashes

Febrile

Afebrile

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

  1. Nguyen T and Freedman J. Dermatologic Emergencies: Diagnosing and Managing Life-Threatening Rashes. Emergency Medicine Practice. September 2002 volume 4 no 9.