China Journal of Leprosy and Skin Diseases ›› 2019, Vol. 35 ›› Issue (11): 643-646.doi: 10.12144/zgmfskin201911643

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Clinical analysis of 10 patients with psoriasis vulgaris complicated with bullous pemphigoid

CAO Shan1, WANG Na2, YAN Xiaoxiao2, ZHANG Zhaoxia2, ZHOU Shengji2, WANG Guangjin2, DU Donghong2, YANG Qing2, YU Changping2, ZHOU Guizhi2, YANG Baoqi2, ZHANG Furen2   

  1. 1. School of Medicine and Life Sciences, University of Jinan-Shandong Academy of Medical Sciences, Jinan 250062,China;  
    2. Shandong Provincial Hospital for Skin Diseases & Shandong Provincial Institute of Dermatology and Venereology, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan 250062,China
  • Online:2019-11-15 Published:2019-11-19
  • Contact: YANG Baoqi, E-mail: baoqiyang@126.com

Abstract: Objective: To summarize the clinical features and treatment of the patients with psoriasis vulgaris complicated with bullous pemphigoid. Methods: The data of the patients diagnosed as psoriasis vulgaris complicated with bullous pemphigoid in our hospital from January 2016 to February 2018 was analyzed retrospectively. Results: Ten patients with psoriasis vulgaris with bullous pemphigoid were found, including 9 males and 1 female. The median age was (59.90±10.18) years. Psoriasis onset preceded bullous pemphigoid in all the patients. The bullous lesions occurred on the psoriatic lesions in 8 patients and bullous lesions occurred on the normal skin in 2. Nine patients were treated with corticosteroids and /or immunosuppressive agents, and one case was treated with tetracycline combined with niacinamide and narrow band UVB. After an follow-up of 150 to 1065 days, there was no new blister lesions occurred and psoriatic lesions remained stable in seven patients. Two cases were lost to follow-up and one died. Conclusion: Psoriasis vulgaris complicated with bullous pemphigoid was rare and mainly affects the elderly. Corticosteroids combined with immunosuppressants was effective for treating psoriasis vulgaris complicated with bullous pemphigoid. 

Key words: psoriasis, bullous pemphigoid, clinical analysis