Bullous Disease Of Dialysis/renal Failure - DermAtlas

Contributor

Ian Mc Coll, MD

Diagnosis

bullous disease of dialysis/renal failure

Body Site

finger

Age

80 years

Pigmentation

light

Organization

grouped, clustered

Color

red

Morphology

vesiculobullous (blister, pustule)

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

This elderly woman with chronic renal failure had been on dialysis for two years before developing these acral blood filled blisters. Her blood porphyrins were mildly elevated. She was also taking ibuprofen. Her diagnosis was thought to be bullous disease of dialysis which is sometimes also described as pseudoporphyria.

Description

symmetric 3-6 mm blood filled vesicles and bullae

Image Added

7/7/2003 7:16:15

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Other Resources

PubMed Medline Plus Medscape

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