BULOUS PEMPHIGOID
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An 80 year old patient of mine started to have a widespread bullous
eruption (histologically and clinically consistent with bullous
pemphigoid), one week after split thickness skin graft (STSG) for leg
ulcer.

Anyone know of such association having been reported in the past ? Is 
this a coincidence or may one postulate that the STSG may have triggered 
an autoimmune response against basement membrane (BM) antigens ? Strictly
speaking, STSG cuts through the dermis and the BM zone should have 
reminaed intact.

Ken Ho
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Had a patient like this 15 years ago. Had a burn, then a graft. There 
were several similar case reports at that time.   

Diane Thaler
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