An Unusual Intersection of Dermatology and Cardiology: Urticarial Bullous Pemphigoid and Microvascular Angina in a 68-Year-Old Male from Western India – Case Report.

Authors

  • K. J. Dange, M.D., S. N. Pradhan, M.D. , V. A. Belgaumkar, M.D., A. P Gosavi, M.D., M. G. Jawale, N. A. Solanki, B. J. Waghmode , J. B. Shinde , B. A. Darkase M.D. , K. B. Rathore, M.S., D. Kumar, D.M. Author

DOI:

https://doi.org/10.48047/

Keywords:

Bullous pemphigoid, Urticarial bullous pemphigoid, Autoimmune blistering disease, Case report, Ischemic heart disease, Microvascular angina

Abstract

Bullous pemphigoid (BP) is an autoimmune subepidermal blistering disease. Urticarial BP, an 
uncommon variant, presents with pruritic urticarial plaques and erosions rather than tense bullae. We 
describe a 68-year-old male from Western India with pre-existing ischemic heart disease 
(microvascular angina) who presented with a 7-month history of pruritic rash and burning sensations 
affecting his extremities and buttocks. A skin biopsy confirmed urticarial BP. The patient achieved 
remission within two months following treatment with a combination of systemic 
immunosuppressants and topical corticosteroids.

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Published

2024-11-01