Bullous pemphigoid induced by penicillamine in a patient with Wilson disease.

Abstract:

:We report a 47-year-old man with Wilson disease who developed bullous lesions on the trunk and extremities after 20 years of penicillamine treatment. The histologic and immunofluorescence findings were diagnostic of bullous pemphigoid. When penicillamine was replaced by zinc sulfate, the patient's bullous skin lesions improved rapidly. However, after 2 months of zinc sulfate treatment, the patient's skin condition remained improved but his neurologic disease became worse and penicillamine was reinstituted. Bullous lesions recurred within 1 week and the diagnosis of penicillamine-induced bullous pemphigoid was confirmed. This is the first report of penicillamine-induced bullous pemphigoid in a patient with Wilson disease.

journal_name

Am J Clin Dermatol

authors

Popadic S,Skiljevic D,Medenica L

doi

10.2165/0128071-200910010-00006

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

36-8

issue

1

eissn

1175-0561

issn

1179-1888

pii

1016

journal_volume

10

pub_type

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