Diagnosis: Pemphigoid bullous
Description: Tense blister on the toes
Morphology: Blisters
Site: Foot,dorsum
Sex: M
Age: 80
Type: Clinical
Submitted By: Ian McColl
Differential Diagnosis
History: These blisters arose when this man's dose of prednisolone was reduced below 15mgs.He was also on Imuran 100mgs daily.Bullous pemphigoid is an immunobullous disease particularly seen in the elderly.