Bullous Diabeticorum: A Rare Cutaneous Manifestation in Diabetic Patients

Bullous diabeticorum is a condition in diabetes patients that develops spontaenously. It usually presents in the age span of 17 to 84 years and is more commonly observed in males than in females. This case study was reported by Abdullah Khalid and colleagues titled “Bullous Diabeticorum: A Rare Cutaneous Manifestation in Diabetic Patients” and the summary has been given below.

Case report:

A 60 year old obese lady presented with complaints of redness of middle, ring and little finger of right hand which progressed onto developing painless fluid filled vesicles. The patient had a history of type 2 diabetes and was on medications with poor compliance and poor glycemic controls. No history of numbness or burning sensation of feet was observed. The patient was diagnosed with Bullous Diabeticorum.

Treatment:

The patient was treated with aspiration of her blisters with small bore needles and the roof were left as it is to avoid another infection. Additionally she was advised medications and counseled about her diet.

Results:

Patient arrived for a follow-up post a week. He had a good glycemic control and his lesions had healed.

Overview:

This being a rare condition requires adequate histopathology along with immunoflorence to distinguish it from other vesicobullous diseases. Treatment is mostly confined to wound healing and the lesions take about 2-4 weeks to fade but however can reoccur at the same site. Treatment protocols should also thereby focus on preventing ulcer formation