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Bullous pemphigoid

最后审阅: 9 Aug 2025
最后更新: 11 Dec 2020

小结

定义

病史和体格检查

关键诊断因素

  • pruritus
  • tense blisters on normal or erythematous skin
完整详情

其他诊断因素

  • erythematous or urticarial plaques
  • oral lesions
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危险因素

  • age 60 to 90 years
  • major histocompatibility complex (MHC) class II allele (DQB1*0301)
  • male sex
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诊断性检查

首要检查

  • skin biopsy for histopathologic evaluation with light microscopy
  • skin biopsy for direct immunofluorescence testing
  • indirect immunofluorescence test on serum
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需考虑的检查

  • ELISA test
完整详情

新兴检查

  • immunoblotting
  • immunoprecipitation
  • fluorescence overlay antigen mapping (FOAM) technique

治疗流程

急症处理

localized lesions in children or adults

widespread lesions in adults

widespread lesions in children

撰稿人

作者

Vesna Petronic-Rosic, MD, MSc, MBA

Professor and Chair

Department of Dermatology

Georgetown University

MedStar Washington Hospital Center

Washington

DC

利益声明

VPR declares that she has no competing interests.

同行评议者

Lawrence Parish, MD

Clinical Professor of Dermatology and Cutaneous Biology

Director

Jefferson Center for International Dermatology

Jefferson Medical College

Thomas Jefferson University

Philadelphia

PA

利益声明

LP declares that he has no competing interests.

Timothy Patton, MD

Assistant Professor of Dermatology

Department of Dermatology

University of Pittsburgh

Pittsburgh

PA

利益声明

TP declares that he 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.

参考文献

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

关键文献

Cotell S, Robinson ND, Chan LS. Autoimmune blistering skin diseases. Am J Emerg Med. 2000;18:288-299. 摘要

Kirtschig G, Middleton P, Bennett C, et al. Interventions for bullous pemphigoid. Cochrane Database Syst Rev. 2010;(10):CD002292.全文  摘要

Kirtschig G, Khumalo NP. Management of bullous pemphigoid: recommendations for immunomodulatory treatments. Am J Clin Dermatol. 2004;5:319-26. 摘要

参考文献

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

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