title: Bullosis diabeticorum: rare presentation in a common disease.
abstract: A 27-year-old African American male presented with a sudden onset of blisters. He had a past medical history of uncontrolled diabetes mellitus type I, diabetic vasculopathy, and neuropathy. The physical examination revealed nonerythematous skin denudations on both elbows and lateral aspect of arm bilaterally. Investigations which included skin biopsies confirmed the diagnosis of bullosis diabeticorum. The bullae were treated with hydrotherapy and healed with no complications in 4 weeks. We present this case to illustrate the rare occurrence of diabetic bulla in a diabetic patient especially with poor glycemic control. The case is also a reminder of the importance of diabetes screening in nondiabetic patients who are diagnosed with diabetic bulla.
authors.affiliation: Department of Medicine, University of California San Diego (UCSD), 200 West Arbor Drive, MC 8485, San Diego, CA 92103, USA.
authors.forename: Vineet
authors.identifier: 0000-0003-4639-3316
authors.initials: V
authors.lastname: Gupta
authors.affiliation: Department of Medicine, Morristown Medical Center, Morristown, NJ 07960, USA.
authors.forename: Neha
authors.identifier: 0000-0002-2140-5731
authors.initials: N
authors.lastname: Gulati
authors.affiliation: Florida International University (FIU), Miami, FL 33174, USA.
authors.forename: Jaya
authors.identifier: 0000-0002-6442-6006
authors.initials: J
authors.lastname: Bahl
authors.affiliation: Department of Medicine, University of California San Diego (UCSD), 200 West Arbor Drive, MC 8485, San Diego, CA 92103, USA.
authors.forename: Jaswinder
authors.initials: J
authors.lastname: Bajwa
authors.affiliation: Nova Southeastern University Health Sciences Division, Fort-Lauderdale-Davie, FL 33314, USA.
authors.forename: Naveen
authors.identifier: 0000-0002-5431-2195
authors.initials: N
authors.lastname: Dhawan