String of pearls as an atypical manifestation of bullous pemphigoid

Authors

  • Agustina Belén Filisetti Francisco Javier Muñiz Hospital, City of Buenos Aires, Argentina
  • María Emilia Candiz Francisco Javier Muñiz Hospital, City of Buenos Aires, Argentina
  • Olga Lucía Forero Francisco Javier Muñiz Hospital, City of Buenos Aires, Argentina
  • Esteban Maronna Francisco Javier Muñiz Hospital, City of Buenos Aires, Argentina
  • Viviana Leiro Francisco Javier Muñiz Hospital, City of Buenos Aires, Argentina

DOI:

https://doi.org/10.47196/da.v31i2.2872

Keywords:

bullous pemphigoid, linear IgA dermatosis, string-of-pearls

Abstract

Bullous pemphigoid (BP) is the most frequent subepidermal autoimmune bullous disease. Its typical manifestation is the presence of tense blisters with serous and/or hemorrhagic content that develop over urticarial plaques. We report four patients diagnosed with bullous pemphigoid presenting lesions arranged in a string-of-pearls distribution. This distribution is often reminiscent of linear IgA dermatosis. We highlight this as an atypical manifestation of bullous pemphigoid.

Author Biographies

Agustina Belén Filisetti, Francisco Javier Muñiz Hospital, City of Buenos Aires, Argentina

Resident Physician of Dermatology

María Emilia Candiz, Francisco Javier Muñiz Hospital, City of Buenos Aires, Argentina

Dermatologist, Dermatology Unit

Olga Lucía Forero, Francisco Javier Muñiz Hospital, City of Buenos Aires, Argentina

Dermatologist, Dermatology Unit

Esteban Maronna, Francisco Javier Muñiz Hospital, City of Buenos Aires, Argentina

Pathologist, Pathological Anatomy Service

Viviana Leiro, Francisco Javier Muñiz Hospital, City of Buenos Aires, Argentina

Head of the Dermatology Unit

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Published

2025-08-01

Issue

Section

Original Articles