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Bullous Pemphigoid

Medical Author: William C. Shiel Jr., MD, FACP, FACR

What is bullous pemphigoid?

Bullous pemphigoid is a skin disease characterized by tense blistering eruptions on the surface of the skin. Occasionally, the inner lining tissue of the mouth (mucous membrane tissue) can be involved. The condition is caused by antibodies and inflammation abnormally accumulating in a certain layer of the skin or mucous membranes. This layer of tissue is called the "basement membrane." These antibodies (immunoglobulins) bind to proteins in the basement membrane called hemidesmosomal BP antigens and this attracts cells of inflammation.

A majority of cases of bullous pemphigoid occur in people 50 years of age or older. While the cause is unknown, it is felt by some that an aging immune system may become activated in certain individuals with some genetic predisposition to develop bullous pemphigoid.



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