Bullosis Diabeticorum Complicated by Secondary Infection and Necrosis in a 29-Year-Old Male with Newly Diagnosed Diabetes Mellitus: A Case Report
DOI:
https://doi.org/10.63666/ejsmr.1694-9013.2.I.2025.31Keywords:
Bullosis diabeticorum, diabetic foot, bullous lesions, necrosis, diabetes mellitusAbstract
Bullosis diabeticorum (BD) is a rare cutaneous manifestation of diabetes mellitus characterized by spontaneous bullous eruptions, predominantly on the extremities. This report describes a 29-year-old male car driver from Dubai who presented with pruritus on the right foot, progressing to vesicles, papules, pustules, bullae, and eventual necrosis despite multiple interventions. The condition was complicated by secondary infection and swelling, with laboratory findings revealing mild leukocytosis, eosinophilia, and elevated HbA1c, confirming newly diagnosed diabetes mellitus. Multidisciplinary management involving antimicrobial therapy, antifungal agents, wound care, and lifestyle modifications led to clinical improvement and glycemic stabilization. This case underscores the potential for BD to progress to necrosis in poorly controlled diabetes and highlights the importance of early diagnosis and comprehensive management.
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