Autoimmune bullous eruption localized to a breast reconstruction site: response to niacinamide.
A case of bullous pemphigoid responding to niacinamide as monotherapy is reported. Clinically, the patient presented with bullous lesions localized to the left breast. She had a history of a left breast mastectomy for breast cancer. This was followed by radiation therapy to the left chest wall and delayed left breast reconstruction achieved with a transposition flap of the latissimus dorsi muscle. There have been reports of bullous pemphigoid treated with a combination of tetracycline and niacinamide. This is the first report, to our knowledge, of a case of bullous pemphigoid responding to niacinamide alone.
Department of Dermatology, Brooke Army Medical Center, Fort Sam Houston, Texas USA.
B A
BA
Honl
D M
DM
Elston
D001327:Autoimmune Diseases / Q000175:diagnosis / Q000188:drug therapy* / Q000473:pathology; D001941:Breast Diseases / Q000175:diagnosis / Q000188:drug therapy* / Q000276:immunology / Q000473:pathology; D003879:Dermatologic Agents / Q000627:therapeutic use*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D016462:Mammaplasty; D008875:Middle Aged; D009536:Niacinamide / Q000627:therapeutic use*; D010391:Pemphigoid, Bullous / Q000175:diagnosis / Q000188:drug therapy* / Q000276:immunology / Q000473:pathology
D003879:Dermatologic Agents; D009536:Niacinamide