Clinical Case Database / Category: Case Based Discussion

Bullous disorder

Publication details

Natasha Casie Chetty, MB BChir MA MRCP
Foundation Years Journal, volume 2, issue 9, p.371 (123Doc Education, London, November 2008)


A 70-year-old man admitted with pneumonia was found on examination to have a number of blisters on his legs and evidence of excoriation elsewhere. He had been living at home with his dog. He had not been to consult his GP despite having had trouble with his skin for a few months. His past medical history is otherwise unremarkable. What would be your differential diagnosis for his rash?

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Natasha Casie Chetty, MB BChir MA MRCP

Specialist Registrar Dermatology
Norfolk and Norwich University Hospital


1. Wojnarowska F, Kirtshig G, Highet AS, et al. Guidelines for the management of bullous pemphigoid. Br J Dermatol, 2002, 147:214–221.
2. Harman K, Ogg G, Stone N. Infectious Diseases and Dermatology (Medical Masterclass) (Author), Firth JD (Editor).


Conflict Of Interest

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

The database is fully searchable, or can be browsed by medical specialty. Abstracts can be read free of charge, however a subscription is required in order to read the complete cases.