title: Coma blisters sans coma.
abstract: Coma blisters (CBs) are self-limited lesions that occur in regions of pressure during unconscious states classically induced by barbiturates. We report a case of CBs sans coma that were histologically confirmed in a 41-year-old woman who developed multiple tense abdominal bullae with surrounding erythema following a transatlantic flight. Interestingly, the patient was fully conscious and denied medication use or history of medical conditions. A clinical diagnosis of CBs was confirmed by histopathologic findings of eccrine gland necrosis, a hallmark of these bulIous lesions.
authors.affiliation: Temple University School of Medicine, Philadelphia, Pennsylvania, USA.
authors.forename: Silke
authors.initials: S
authors.lastname: Heinisch
authors.forename: Michael
authors.initials: M
authors.lastname: Loosemore
authors.forename: Carrie A
authors.initials: CA
authors.lastname: Cusack
authors.forename: Herbert B
authors.initials: HB
authors.lastname: Allen
mesh_terms: D000005:Abdomen; D000328:Adult; D000401:Aircraft; D001768:Blister / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D004439:Eccrine Glands / Q000473:pathology*; D004890:Erythema / Q000473:pathology*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D009336:Necrosis; D014195:Travel