Bullous pemphigoid at colostomy site: report of a case.
OBJECTIVE
Pemphigoid is a well-recognized cutaneous lesion, occurring rarely in peristomal skin. We report the diagnosis and successful treatment of localized pemphigoid lesions adjacent to a colostomy.


METHODS
We review the chart, immunofluorescence study, treatment, and follow-up of a patient with bullous lesions at a colostomy site.


RESULTS
Pemphigoid of the pericolostomy skin was diagnosed by immunofluorescence study and successfully treated with antibiotic.


CONCLUSIONS
Diagnosis of bullous pemphigoid should be considered in the differential diagnosis of a bullous lesion adjacent to a colostomy site. Diagnosis is easily made, and treatment is simple and efficacious.
Vande Maele
D M
DM
Department of Colon and Rectal Surgery, St. Vincent Health Center, Erie, Pennsylvania, USA.
Reilly
J C
JC
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D003125:Colostomy / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D019085:Fluorescent Antibody Technique, Direct; D006801:Humans; D010391:Pemphigoid, Bullous / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D013752:Tetracycline / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D013752:Tetracycline