Large Bullae on the Legs in a Hospitalized Patient Following a Gunshot Wound
A 19-year-old man developed fluid-filled blisters on both legs within 1 month of a prolonged hospitalization following a gunshot wound that resulted in complete paralysis of the legs.His medical history was otherwise unremarkable.Medications started during hospitalization included moxifloxacin, levetiracetam, and prophylactic subcutaneous enoxaparin.Physical examination by dermatology revealed tense blood-filled bullae measuring several centimeters with well-demarcated, pink to red, irregularly shaped patches on both legs.A biopsy of a blister was taken. WHAT'S YOUR DIAGNOSIS?a. bullous hemorrhagic dermatosis b. bullous pemphigoid c. coma blisters d. heparin-induced skin necrosis e.
Authors
- Nicole Boswell
Institutions
- Medical College of Wisconsin (US)
Publication Details
- Journal
- Cutis
- Published
- 2025-05-01
- DOI
- https://doi.org/10.12788/cutis.1226
- Primary Topic
- Traumatic Ocular and Foreign Body Injuries
- Type
- article
- Field-Weighted Citation Impact
- 0.00