第八期PictureoftheDa

老规矩，先上图！

（中文翻译附后）

vridpath:

60y/ofemalewithafewyearhistoryofblood-filledbullasoverabdomenandlateralarms,firstoccurrenceaftercymbalta.Intermittentflareupsevenaftercymbaltad/c.#Bullous-pemphigoid?Furtherdiagnostictests?

Labscamebacksuggestingchronicliverdisease,butnopruritus.Elevatedalkphos,elevatedCRP.

Figure1：

Thisisthe#imageoftheweek.Thispatientissuspectedtohavebullouspemphigoid,arelapsingandremittingautoimmunediseaseinwhichwidespread,tense,fluid-filledcutaneousbullaedevelop.Thesemaybeprecededbyaprodromalphaseofpruriticskinlesions.Severepruritusmaybetheonlymanifestationinsomepatients.Itis







































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