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.

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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
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article

Large Bullae on the Legs in a Hospitalized Patient Following a Gunshot Wound

Nicole Boswell
Cutis
Traumatic Ocular and Foreign Body Injuries
article

Large Bullae on the Legs in a Hospitalized Patient Following a Gunshot Wound

Nicole Boswell
article en

Abstract

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.

CutisVol. 115(5)
Medical College of Wisconsin (US)
Openalex Percentile: Top 79%
Traumatic Ocular and Foreign Body Injuries
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