A Case of Irritant Contact Dermatitis Mimicking as Localized Bullous Pemphigoid.

Abstract

Introduction: 19 years old adult male a college going scholar presented to the Derm OPD, with complaints of   multiple clear fluid filled lesions over left forearm around the hemodialysis fistula site.  Patient gave history of applying thrombophob ointment over fistula site, which led to development of tense blisters filled with clear fluid that mimics localized bullous pemphigoid, where in appropriate and adequate investigations proved it to be a case of Irritant Contact Dermatitis. Thrombophob ointment which contains benzyl nicotinate and heparin applied over the hemodialysis fistula site leads to bullous lesions of Irritant Contact Dermatitis (ICD)which  mimics as localized bullous pemphigoid over fistula site.

Keywords: Hemodialysis fistula site,Irritant Contact Dermatitis,  localized Bullous Pemphigoid.