Infantile bullous pemphigoid successfully treated with combined pulse corticosteroids and high-dose IVIG

Dermatol Ther. 2018 Sep;31(5):e12635. doi: 10.1111/dth.12635. Epub 2018 Sep 14.

Abstract

Bullous pemphigoid is the most common autoimmune blistering disorder in the elderly. It affects people aged 70 years or older. Clinically it is characterized by intensely pruritic eruption consisting of widespread tense blisters on an erythematous background. It is associated with cellular and humoral responses against hemidesmosomal components of the skin and mucous membranes. In contrast, infantile bullous pemphigoid is exceedingly rare disease and presents with some unique features like favorable prognosis, possible association with vaccination, and primary involvement of acral surfaces. Herein, we present a case of 4,5-month-old infant with neonatal pemphigoid, successfully treated with a combination of intravenous immunoglobulins and pulse methylprednisolone.

Keywords: infantile bullous pemphigoid; intravenous immunoglobulins; neonatal autoimmune blistering disease.

Publication types

  • Case Reports

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use*
  • Diphtheria-Tetanus-Pertussis Vaccine / adverse effects
  • Drug Therapy, Combination
  • Female
  • Haemophilus Vaccines / adverse effects
  • Humans
  • Immunoglobulins, Intravenous / therapeutic use*
  • Immunologic Factors / therapeutic use*
  • Infant
  • Methylprednisolone / therapeutic use*
  • Pemphigoid, Bullous / drug therapy*
  • Pemphigoid, Bullous / etiology
  • Poliovirus Vaccine, Inactivated / adverse effects
  • Vaccines, Combined / adverse effects

Substances

  • Anti-Inflammatory Agents
  • DTP-IPV-Hib vaccine
  • Diphtheria-Tetanus-Pertussis Vaccine
  • Haemophilus Vaccines
  • Immunoglobulins, Intravenous
  • Immunologic Factors
  • Poliovirus Vaccine, Inactivated
  • Vaccines, Combined
  • Methylprednisolone