A case of radiotherapy-induced bullous pemphigoid with unusually delayed onset: A case report

Author:

El Barch Maha1ORCID,Davar Sandra1,Bélisle Annie2

Affiliation:

1. Division of Dermatology, Department of Medicine, Centre Hospitalier de l’Université de Montréal (CHUM), Montreal, Canada

2. Department of Pathology, Centre Hospitalier de l’Université de Montréal (CHUM), Montréal, Canada

Abstract

Bullous pemphigoid is an auto-immune blistering disease that generally affects older patients. Radiotherapy is one of the many triggering factors that have been described. Time to disease onset is variable; cases have been described during the course of radiotherapy while others have occurred up to 9 years later. We report a case of localized bullous pemphigoid on an irradiated site with unusual late presentation, 25 years after radiotherapy for left breast cancer. The pathophysiology of radiation-induced bullous pemphigoid is not clear, but the concept of an immunocompromised district seems to be a plausible explanation for the delayed onset of the disease.

Publisher

SAGE Publications

Subject

General Medicine

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