Evaluation of vesicular-bullous rash

Última revisão: 12 Aug 2025
Última atualização: 06 May 2025

Resumo

Diagnósticos diferenciais

comuns

  • Herpes simplex
  • Herpes zoster (shingles)
  • Varicella zoster, acute (chickenpox)
  • Dermatophyte infections (inflammatory or bullous tinea pedis)
  • Scabies
  • Impetigo
  • Friction blister
  • Miliaria
  • Eczematous dermatitis (allergic contact, nummular, and dyshidrotic)
  • Thermal burn
  • Frostbite
Detalhes completos

Incomuns

  • Staphylococcal scalded skin syndrome
  • Epidermolysis bullosa
  • Coma bullae
  • Nutritional deficiencies (zinc, biotin, niacin, essential fatty acids)
  • Porphyria cutanea tarda
  • Pseudoporphyria cutanea tarda
  • Diabetic bullae (bullosis diabeticorum)
  • Incontinentia pigmenti
  • Bullous ichthyosiform erythroderma (epidermolytic hyperkeratosis)
  • Mastocytosis
  • Bullous arthropod bite reaction
  • Erythema multiforme
  • Stevens-Johnson syndrome
  • Toxic epidermal necrolysis
  • Amyloidosis
  • Hand-foot-mouth disease
  • Congenital syphilis
  • Linear IgA disease
  • Chronic bullous disease of childhood
  • Pemphigus vulgaris
  • Pemphigus foliaceus (fogo selvagem, pemphigus erythematosus)
  • Paraneoplastic pemphigus
  • Bullous pemphigoid
  • Pemphigoid gestationis
  • Mucous membrane pemphigoid (cicatricial pemphigoid)
  • Epidermolysis bullosa acquisita
  • Bullous lupus erythematosus
  • Dermatitis herpetiformis
  • Mpox
Detalhes completos

Colaboradores

Autores

Jon H. Meyerle, MD

Associate Professor

Department of Dermatology

Uniformed Services University of the Health Sciences

Bethesda

MD

Declarações

JHM declares that he has no competing interests.

Agradecimentos

Dr Jon H. Meyerle would like to gratefully acknowledge Dr Keira L. Barr, a previous contributor to this topic.

Declarações

KLB declares that she has no competing interests.

Revisores

Hywel C. Williams, MSc, PhD, FRCP

Professor of Dermato-Epidemiology

Center of Evidence Based Dermatology

Nottingham University Hospitals

NHS Trust

Queen's Medical Centre

Nottingham

UK

Declarações

HCW declares that he has no competing interests.

Dedee F. Murrell, MA, BMBCh, FAAD, MD

Head of Department

Department of Dermatology

St George Hospital

Conjoint Professor

University of New South Wales

Sydney

Australia

Declarações

DFM declares that she has no competing interests.

Vesna Petronic-Rosic, MD, MSc

Associate Professor and Clinical Director

Section of Dermatology

University of Chicago

Chicago

IL

Declarações

VPR declares that she has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Referências

Nossas equipes internas de editoria e de evidências trabalham em conjunto com colaboradores internacionais especializados e pares revisores para garantir que forneçamos acesso às informações o mais clinicamente relevantes possível.

Principais artigos

Berger TG, James WD, Elston DM. Andrew's diseases of the skin, clinical dermatology, 10th edition. WB Saunders; 2008.

Joly P, Horvath B, Patsatsi Α, et al. Updated S2K guidelines on the management of pemphigus vulgaris and foliaceus initiated by the european academy of dermatology and venereology (EADV). J Eur Acad Dermatol Venereol. 2020 Sep;34(9):1900-13.Texto completo  Resumo

Fine JD, Bruckner-Tuderman L, Eady RA, et al. Inherited epidermolysis bullosa: updated recommendations on diagnosis and classification. J Am Acad Dermatol. 2014 Jun;70(6):1103-26.Texto completo  Resumo

Artigos de referência

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