An Unusual Presentation of Cutaneous Bullous Lupus
2024

An Unusual Presentation of Cutaneous Bullous Lupus

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Buchner Sara H, Malta Kiana, Wang Shiyu, Guevara Adriana, Glickman Cynthia, Hookim Kim, Traisak Pamela, Karpoff Marissa, Feinstein David, Eid Hala

Primary Institution: Cooper University Health Care

Hypothesis

Can hydralazine cause a rare form of lupus with blistering lesions?

Conclusion

The patient's bullous lupus lesions improved significantly after stopping hydralazine, indicating it was the likely cause.

Supporting Evidence

  • The patient had been taking hydralazine for over 10 years before developing symptoms.
  • Histological examination confirmed the diagnosis of bullous lupus erythematosus.
  • The patient's symptoms improved significantly after discontinuation of hydralazine.

Takeaway

A 75-year-old woman developed rare skin blisters after taking a blood pressure medicine for years, but she got better when she stopped the medicine.

Methodology

Case report detailing the patient's symptoms, diagnosis, and treatment.

Limitations

Lack of data on certain antibody tests and absence of direct immunofluorescence imaging.

Participant Demographics

75-year-old female with a history of systemic lupus erythematosus.

Digital Object Identifier (DOI)

10.7759/cureus.74140

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