Abstract

In 2002, the use of electrical stimulation was approved as an adjuvant treatment for non-healing ulcers. A 50-year-old man with type 2 diabetes of 3 years’ duration was referred to our diabetic foot clinic. The patient was a known case of bullous pemphigoid (BP) for the past 15 years and was under steroid therapy (20 mg/day Prednisolone). Electrical stimulation was used as one of the ancillary methods for the treatment of his chronic diabetic foot ulcers. After two sessions, physical examination revealed a bullous eruption (approximately 14 cm) on an erythematous base in the right leg. The literature is devoid of any case of bullous induced by electrical stimulation in pemphigoid diabetic patients. Further studies are required to validate our observation and fully explain the pathogenesis.

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