title: Bullous pemphigoid after bilateral forefoot surgery.
abstract: The case of a 76-year-old woman who developed blisters on both forefeet within 2 weeks of bilateral forefoot surgery is reported; the diagnosis of bullous pemphigoid was made by histological and immunofluorescence studies. The pathogenesis and management of this autoimmune condition, which occurs mainly in patients older than 70 years and may occasionally be associated with surgical wounds, are reviewed. It is important for foot and ankle specialists to be aware of and consider the diagnosis when a bullous contact dermatitis-like eruption persists at a surgical site.
  
  
  METHODS
  Therapeutic Level IV: Case report.
authors.affiliation: Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK dishan.singh@aol.com.
authors.forename: Dishan
authors.initials: D
authors.lastname: Singh
authors.affiliation: Royal National Orthopaedic Hospital, Stanmore, Middlesex, UK.
authors.forename: Amanda
authors.initials: A
authors.lastname: Swann
mesh_terms: D000368:Aged; D001174:Arthrodesis; D005260:Female; D005545:Forefoot, Human / Q000601:surgery*; D006215:Hallux Valgus / Q000601:surgery; D006801:Humans; D008683:Metatarsophalangeal Joint / Q000601:surgery; D010391:Pemphigoid, Bullous / Q000209:etiology*; D011183:Postoperative Complications
keywords: bilateral forefoot surgery; bullae; bullous pemphigoid; postoperative wound; surgical site; vesicles