title: Localized bullous pemphigoid on sites of radiotherapy and lymphedema in the same patient.
abstract: Bullous pemphigoid (BP) is a blistering disorder due to autoantibodies to the epidermal basement membrane zone. The triggering factor could be localized damage to the skin by physical or chemical agents. We report a case of a 68-year-old woman with a three year history of oral lesions of BP following radiotherapy for carcinoma of the hypopharynx, and a three month history of BP over lymphedematous sites on the right hand and right lower limb. Localized BP induced by radiotherapy or lymphedema is rare; both factors working simultaneously in the same patient is even rarer.
authors.affiliation: Department of Dermatology and Venereology, Government Medical College, Kozhikode, Kerala, India.
authors.forename: Manikoth P
authors.initials: MP
authors.lastname: Binitha
authors.affiliation: Department of Dermatology and Venereology, Government Medical College, Kozhikode, Kerala, India.
authors.forename: Veeravalli V
authors.initials: VV
authors.lastname: Vishnu
authors.affiliation: Department of Dermatology and Venereology, Government Medical College, Kozhikode, Kerala, India.
authors.forename: Sukumarakurup
authors.initials: S
authors.lastname: Sreekanth
authors.affiliation: Department of Dermatology and Venereology, Government Medical College, Kozhikode, Kerala, India.
authors.forename: O K
authors.initials: OK
authors.lastname: Reena Mariyath
keywords: Bullous pemphigoid; lymphedema; radiotherapy