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Bullous Eruption in a 36-Year-Old Man With Polycystic Kidney Disease
Maj J. L. Viernes, USAF, MC;
Col Ronald Grimwood, USAF, MC
Wilford Hall US Air Force Medical Center, San Antonio, Tex
Arch Dermatol. 1999;135:81-86.
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REPORT OF A CASE
A 36-year-old man presented with a 3-month history of recurring, fragile vesicles and bullae over the dorsal aspect of both hands that seemed to develop secondary to minor hand trauma. His history was remarkable for polycystic kidney disease that resulted in end-stage renal disease (ESRD) and required continuous cyclical peritoneal dialysis, which began 7 months before the occurrence of his skin lesions. The patient denied any personal or family history of similar lesions. His medications included lisinopril, nifedipine, atenolol, lovastatin, erythropoietin, iron and multivitamin supplementation, and calcium acetate. He denied alcohol intake.
Physical examination revealed several tense bullae overlying normal-appearing skin on the dorsal aspect of the patient's hands and fingers (Figure 1). There were scattered erosions healing with atrophic scarring (Figure 2). There was no evidence of milia or hypertrichosis. The elbows and feet . . . [Full Text of this Article]
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