Bullous pemphigoid: Associating with the multifaceted phenomenon of koebner

Koebner phenomenon (KP) or isomorphic phenomenon often helps in diagnosis of certain conditions and often reflects disease activity. Although commonly reported with psoriasis, vitiligo, and lichen planus, KP has been occasional reported with other conditions. Bullous pemphigoid has a rare associatio...

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Main Authors: Sudhir U. K. Nayak, Shukriti D Shenoi, S Smitha Prabhu, Raghavendra Rao
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Dermatology and Dermatologic Surgery
Subjects:
Online Access:http://www.jddsjournal.org/article.asp?issn=2352-2410;year=2022;volume=26;issue=3;spage=19;epage=20;aulast=Nayak
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author Sudhir U. K. Nayak
Shukriti D Shenoi
S Smitha Prabhu
Raghavendra Rao
author_facet Sudhir U. K. Nayak
Shukriti D Shenoi
S Smitha Prabhu
Raghavendra Rao
author_sort Sudhir U. K. Nayak
collection DOAJ
description Koebner phenomenon (KP) or isomorphic phenomenon often helps in diagnosis of certain conditions and often reflects disease activity. Although commonly reported with psoriasis, vitiligo, and lichen planus, KP has been occasional reported with other conditions. Bullous pemphigoid has a rare association with this and we report a case with scratching being the inciting factor. A 50-year-old female with no comorbidities presented with itchy fluid-filled lesions all over the body for 15 days. Examination showed generalized distribution of bullae and vesicles with linear bulla on the forearms. Histopathology and immunofluorescence studies were conclusive of bullous pemphigoid. KP has been reported in general due to mechanical trauma, therapy, dermatoses, or reactions. KP in bullous pemphigoid is rarely reported and it is mentioned in the category IV of Boyd and Nelder classification. The linear nature of bulla in our patient was suggestive of scratching being the inciting factor for KP, which has not been reported to the best of our knowledge.
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spelling doaj.art-01903b14b9f64a87a9f9ac38e98417dd2022-12-22T04:02:22ZengWolters Kluwer Medknow PublicationsJournal of Dermatology and Dermatologic Surgery2352-24102352-24292022-01-01263192010.4103/jdds.jdds_142_20Bullous pemphigoid: Associating with the multifaceted phenomenon of koebnerSudhir U. K. NayakShukriti D ShenoiS Smitha PrabhuRaghavendra RaoKoebner phenomenon (KP) or isomorphic phenomenon often helps in diagnosis of certain conditions and often reflects disease activity. Although commonly reported with psoriasis, vitiligo, and lichen planus, KP has been occasional reported with other conditions. Bullous pemphigoid has a rare association with this and we report a case with scratching being the inciting factor. A 50-year-old female with no comorbidities presented with itchy fluid-filled lesions all over the body for 15 days. Examination showed generalized distribution of bullae and vesicles with linear bulla on the forearms. Histopathology and immunofluorescence studies were conclusive of bullous pemphigoid. KP has been reported in general due to mechanical trauma, therapy, dermatoses, or reactions. KP in bullous pemphigoid is rarely reported and it is mentioned in the category IV of Boyd and Nelder classification. The linear nature of bulla in our patient was suggestive of scratching being the inciting factor for KP, which has not been reported to the best of our knowledge.http://www.jddsjournal.org/article.asp?issn=2352-2410;year=2022;volume=26;issue=3;spage=19;epage=20;aulast=Nayakbullous pemphigoidimmunofluorescencekoebner phenomenon
spellingShingle Sudhir U. K. Nayak
Shukriti D Shenoi
S Smitha Prabhu
Raghavendra Rao
Bullous pemphigoid: Associating with the multifaceted phenomenon of koebner
Journal of Dermatology and Dermatologic Surgery
bullous pemphigoid
immunofluorescence
koebner phenomenon
title Bullous pemphigoid: Associating with the multifaceted phenomenon of koebner
title_full Bullous pemphigoid: Associating with the multifaceted phenomenon of koebner
title_fullStr Bullous pemphigoid: Associating with the multifaceted phenomenon of koebner
title_full_unstemmed Bullous pemphigoid: Associating with the multifaceted phenomenon of koebner
title_short Bullous pemphigoid: Associating with the multifaceted phenomenon of koebner
title_sort bullous pemphigoid associating with the multifaceted phenomenon of koebner
topic bullous pemphigoid
immunofluorescence
koebner phenomenon
url http://www.jddsjournal.org/article.asp?issn=2352-2410;year=2022;volume=26;issue=3;spage=19;epage=20;aulast=Nayak
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AT shukritidshenoi bullouspemphigoidassociatingwiththemultifacetedphenomenonofkoebner
AT ssmithaprabhu bullouspemphigoidassociatingwiththemultifacetedphenomenonofkoebner
AT raghavendrarao bullouspemphigoidassociatingwiththemultifacetedphenomenonofkoebner