Bullous pemphigoid

defining characteristics

Blistering disease where epidermis is lifting off of basement membrane; usually on lower extremities of older patients
Itchy, tense blisters (do not break easily!)

disease development

Autoimmune blistering disorder where antibodies are directed at hemidesmosomes (sub-basal) so loss of epidermal attachment to basement membrane

potential causes

Autoantibodies against
BPAG1 and/or BPAG2

epidemiology

Histology? Subepidermal blister (white space btwn epidermis & dermis) (sub-basal split), healthy epidermis, +eosinophils (pink)
Dx confirmed w/ immunofluorescent Abs binding to
basement membrane

risk factors

labimaging

conventional treatment

complications

prevention

protocols