CASE REPORT


Localized Zosteriform bullous Pemphigoid on the Sites of a Healed Herpes Zoster: A Case Report and Literature Review



Awad Hasan Al-Tarawneh1, *
1 Department of Internal Medicine And Forensic Medicine, Faculty Of Medicine, Mu`tah University, Al-Karak, Jordan


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Creative Commons License
© 2022 Awad Hasan Al-Tarawneh

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: https://creativecommons.org/licenses/by/4.0/legalcode. This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

* Address correspondence to this author at the Department of Internal Medicine And Forensic Medicine, Faculty Of Medicine, Mu`tah University, P.O.B:903; Postal code: 11732, Marj Al-Hamam, Amman, Jordan; Email: dr.awad84@yahoo.com


Abstract

Background:

Localized zosteriform bullous pemphigoid is a rare variant of bullous pemphigoid that is considered a manifestation of Wolf`s isotopic response. Only a few cases have been reported. We add another case to the body of knowledge in order to shed the light on this uncommon variant of bullous pemphigoid.

Case Report:

A 67-year old female patient developed vesiculobullous lesions at the sites of healed herpes zoster. The patient was diagnosed as a case of zosteriform bullous pemphigoid based on the clinical presentation and skin biopsy findings.

Conclusion:

Zosteriform bullous pemphigoid is a rare manifestation of Wolf`s isotopic response. A Skin biopsy must be performed early to ensure proper diagnosis and management.

Keywords: Herpes zoster, Zosteriform, Bullous pemphigoid, Isotopic response, Skin biopsy, Skin disease.