Bullous pemphigoid after femur fracture surgery: a mere coincidence?

Sir, Bullous pemphigoid (BP) is an autoimmune blistering skin disease that occurs predominantly among elderly persons. It occurs in four to six cases per million people per year, of which only a few involving localized BP have been reported to occur after surgery[1-4] and only one case of generalized BP devoloped after abdominal hernia surgery.[1] Herein, we report a case of generalized BP developing after femur fracture surgery.

[1]  A. Batalla,et al.  Localized bullous pemphigoid at urostomy site. , 2011, Indian journal of dermatology, venereology and leprology.

[2]  C. Korfitis,et al.  Trauma-induced bullous pemphigoid. , 2009, Indian journal of dermatology, venereology and leprology.

[3]  E. Antiga,et al.  Bullous pemphigoid initially localized around a urostomy , 2006, International journal of dermatology.

[4]  J. Fortea,et al.  Localized bullous pemphigoid overlying a fistula for hemodialysis. , 2004, Journal of the American Academy of Dermatology.

[5]  P. Elias,et al.  Identification of two collagen domains within the bullous pemphigoid autoantigen, BP180. , 1991, The Journal of clinical investigation.