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Management and prognosis of bullous pemphigoid

Dedee F Murrell, MD
Mae Ramirez-Quizon, MD
Section Editor
John J Zone, MD
Deputy Editor
Abena O Ofori, MD


Bullous pemphigoid (BP) is an autoimmune blistering disease characterized by autoantibody deposition at the epithelial basement membrane zone. The disorder most frequently affects elderly adults and classically presents with generalized pruritic urticarial plaques and tense subepithelial blisters (picture 1A-C).

First-line therapy for bullous pemphigoid consists of topical or systemic corticosteroids; both interventions are rapidly effective for this disease. Additional immunomodulatory therapies are often added to treatment to minimize the adverse effects of chronic corticosteroid therapy or to augment improvement in the disease.

The management of bullous pemphigoid will be reviewed here. The epidemiology, pathogenesis, potential triggers, clinical features, and diagnosis of bullous pemphigoid are discussed separately. (See "Epidemiology and pathogenesis of bullous pemphigoid and mucous membrane pemphigoid" and "Clinical features and diagnosis of bullous pemphigoid and mucous membrane pemphigoid".)


Goals of treatment — The major goals for the treatment of bullous pemphigoid (BP) are as follows:

Decrease blister formation and pruritus

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Literature review current through: Nov 2017. | This topic last updated: Jun 30, 2017.
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