Ulcerative Bullosis Diabeticorum in a Man With Chronic, Uncontrolled Diabetes, Uncontrolled Erectile Dysfunction, and Significant Social Barriers to Care.
Alexis Burce, Rediate K Degu, Linda N Robles et al.
✦ AI-curated · Sources linked
Case in brief
A 41-year-old man with poorly controlled type 2 diabetes mellitus presented with atypical blisters that progressed to ulcerative bullosis diabeticorum. His diabetes management was complicated by social barriers, and he exhibited significant comorbidities, including chronic kidney disease and erectile dysfunction. The diagnosis was made clinically, and after implementing wound care, the patient's wounds and fasting glucose improved over one month.
Diagnostic / clinical pearl
Clinicians should consider bullosis diabeticorum in diabetic patients presenting with atypical blistering, especially when social determinants of health complicate diabetes management.
Why it matters
This case underscores the importance of addressing social barriers in managing diabetes to prevent complications like bullosis diabeticorum.