Avaliação de exantema vesicobolhoso

Last reviewed: 11 Jun 2025
Last updated: 06 May 2025

Summary

Differentials

Common

  • Herpes simples
  • Herpes-zóster
  • Varicela-zóster aguda (catapora)
  • Infecções dermatofíticas (tinea pedis inflamatória ou bolhosa)
  • Escabiose
  • Impetigo
  • Vesícula por fricção
  • Miliária
  • Dermatite eczematosa (contato alérgico, numular e disidrótica)
  • Queimadura térmica
  • Congelamento das extremidades
Full details

Uncommon

  • Síndrome da pele escaldada estafilocócica
  • Epidermólise bolhosa
  • Bolhas do coma
  • Deficiências nutricionais (zinco, biotina, niacina, ácidos graxos essenciais)
  • Porfiria cutânea tardia
  • Pseudoporfiria cutânea tardia
  • Bolha diabética (bullosis diabeticorum)
  • Incontinência pigmentar
  • Eritrodermia ictiosiforme bolhosa (hiperceratose epidermolítica)
  • Mastocitose
  • Reação bolhosa à picada de artrópodes
  • Eritema multiforme
  • Síndrome de Stevens-Johnson
  • Necrólise epidérmica tóxica
  • Amiloidose
  • Doença de mão, pé e boca
  • Sífilis congênita
  • Doença linear por imunoglobulina A (IgA)
  • Doença bolhosa crônica da infância
  • Pênfigo vulgar
  • Pênfigo foliáceo (fogo selvagem, pênfigo eritematoso)
  • Pênfigo paraneoplásico
  • Penfigoide bolhoso
  • Penfigoide gestacional
  • Penfigoide da membrana mucosa (penfigoide cicatricial)
  • Epidermólise bolhosa adquirida
  • Lúpus eritematoso bolhoso
  • Dermatite herpetiforme
  • Varíola símia
Full details

Contributors

Authors

Jon H. Meyerle, MD

Associate Professor

Department of Dermatology

Uniformed Services University of the Health Sciences

Bethesda

MD

Disclosures

JHM declares that he has no competing interests.

Acknowledgements

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

Disclosures

KLB declares that she has no competing interests.

Peer reviewers

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

Disclosures

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

Disclosures

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

Disclosures

VPR declares that she has no competing interests.

References

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Key articles

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.Full text  Abstract

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.Full text  Abstract

Reference articles

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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