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Actinic prurigo

A photosensitive eruption featuring intensely itchy papules and nodules that can erode and form hemorrhagic crusts and blisters on sun-exposed skin.

Allergic contact dermatitis

An eczematous reaction to an allergen characterized by intensely itchy vesicles and bullae on an erythematous base, often in a linear or geometric pattern.

Bullous Sweet's syndrome

A neutrophilic dermatosis that can present with tender, erythematous plaques topped with tense, and sometimes hemorrhagic, bullae.

Bullous drug reaction

A drug-induced eruption that can manifest as tense bullae on normal-appearing or erythematous skin, such as in a bullous fixed drug eruption.

Bullous erythema multiforme

Characterized by targetoid lesions with a central bulla or crust, typically on acral sites, often triggered by herpes simplex virus infection.

Bullous impetigo

A superficial bacterial infection causing flaccid, fragile bullae with clear or cloudy fluid that rupture easily, leaving a thin, varnish-like crust.

Bullous lichen planus

A rare variant where tense bullae arise directly on pre-existing violaceous, flat-topped papules and plaques of lichen planus.

Bullous pemphigoid

An autoimmune disease of the elderly causing large, tense, fluid-filled bullae on erythematous or urticarial plaques, which are intensely pruritic.

Bullous tinea

An inflammatory fungal infection, typically on the feet, that presents with vesicles and bullae in addition to typical scaling and maceration.

Bullous vasculitis

A severe form of leukocytoclastic vasculitis where palpable purpura progresses to form hemorrhagic bullae and necrotic ulcers.

Chronic bullous dermatitis of childhood

An autoimmune blistering disease in children characterized by large, tense bullae arranged in annular "cluster of jewels" or "rosette" patterns.

Dermatitis herpetiformis

An intensely pruritic, autoimmune blistering disease linked to celiac disease, featuring symmetric groups of small vesicles and papules on extensor surfaces like elbows and knees.

Diabetic bullae

Spontaneous, non-inflammatory, tense bullae that appear suddenly on the feet and hands of diabetic patients, resembling friction blisters but without known trauma.

Dyshidrotic eczema

An eczematous reaction presenting as small, deep-seated, "tapioca-like" vesicles on the palms, soles, and sides of fingers.

Epidermolysis bullosa

A group of inherited disorders where blisters and erosions form in response to minimal friction or trauma, present from birth or infancy.

Epidermolysis bullosa acquisita

An acquired autoimmune disease of adulthood with skin fragility and non-inflammatory bullae in trauma-prone areas, resembling porphyria cutanea tarda.

Friction blisters

Clear fluid-filled bullae that form at sites of repeated rubbing or pressure, with a clear history of mechanical cause.

Herpes simplex

A viral infection causing a cluster of small, uniform vesicles on an erythematous base that progress to pustules and then crust over.

IgA pemphigus

A rare autoimmune disease with two main subtypes: one resembling Sneddon-Wilkinson disease with flaccid pustules in an annular pattern, and another with vesicopustules on erythematous skin.

Insect bite reaction

An inflammatory response to an insect bite that can form a central papule surrounded by an urticarial flare, sometimes with a prominent central bulla.

Linear IgA disease

An autoimmune blistering disease characterized by the unique arrangement of tense vesicles and bullae in an annular "cluster of jewels" pattern.

Lymphangioma

A malformation of lymphatic vessels presenting as clusters of deep-seated, tapioca-like vesicles (frog spawn appearance) that contain clear or pinkish fluid.

Miliaria crystallina

Caused by sweat duct obstruction at the most superficial level, presenting as tiny, clear, dewdrop-like, non-inflamed vesicles that rupture easily.

Mucous membrane pemphigoid

An autoimmune disease primarily causing blisters and erosions on mucous membranes (oral, ocular) that heal with significant scarring.

Oedema blisters

Tense, non-inflammatory bullae that arise on skin with massive, dependent edema, typically on the lower legs.

PUVA blisters

Blisters that can arise as a side effect of psoralen plus UVA therapy, often on the feet or areas of high UVA dosage.

Pemphigoid gestationis

An intensely pruritic autoimmune blistering disease specific to pregnancy, starting with urticarial papules and plaques that evolve into tense bullae, often beginning around the umbilicus.

Pemphigus foliaceus

An autoimmune disease with superficial, fragile bullae that rupture very easily, leading to shallow erosions and a characteristic "cornflake-like" scale and crust, often on the face and upper trunk.

Pemphigus vulgaris

A severe autoimmune disease characterized by flaccid, easily ruptured bullae and painful erosions that almost always begins in the oral mucosa.

Phototoxic drug reaction

A non-allergic reaction to a drug plus UV light, resembling an exaggerated sunburn with erythema, edema, and bullae confined to sun-exposed areas.

Poison ivy

An allergic contact dermatitis to urushiol oil, classically presenting as linear streaks of intensely itchy vesicles and bullae.

Polymorphic light eruption

The most common photodermatosis, presenting as a delayed, itchy eruption of various morphologies (papules, plaques, vesicles) on sun-exposed skin after UV exposure.

Porphyria cutanea tarda

A metabolic disorder causing skin fragility, vesicles, and bullae on sun-exposed areas, particularly the hands, which heal slowly with milia and hyperpigmentation.

Pressure blister

A bulla that forms over a bony prominence due to prolonged pressure and shear forces, often in obtunded or immobile patients.

Pseudoporphyria

A drug-induced condition that clinically mimics porphyria cutanea tarda with skin fragility and bullae on sun-exposed skin, but with normal porphyrin levels.

Shingles

Reactivation of the varicella-zoster virus, causing a painful, unilateral eruption of vesicles on an erythematous base in a specific dermatomal distribution.

Stevens-Johnson syndrome

A severe mucocutaneous reaction, often to drugs, characterized by widespread dusky red macules, atypical target lesions, and bullae that lead to epidermal detachment of <10% of body surface area.

Toxic epidermal necrolysis

The most severe form of drug-induced skin reaction, with widespread, full-thickness epidermal necrosis and detachment affecting >30% of the body surface area, resembling a severe burn.

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