Unilateral bullous pemphigoid in a hemiplegic patient.

Long, C C; Lever, L R; Marks, R · Br J Dermatol · 1992

case_report · Level V

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Abstract

A 78-year-old man with a long-standing left-sided hemiplegia presented with bullous pemphigoid which affected his paralysed side only. Although the rash was unilateral, direct immunofluorescence demonstrated IgG antibody at the dermo-epidermal junction on both sides of the body. Indirect immunofluorescence was also positive. A suction-blister test showed increased skin fragility on the affected side.

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