A CASE REPORT OF BULLOSIS DIABETICORUM

Introduction: In primary care diseases presents themself in unspecific forms and rare pathologies are defying. Method: a case report diagnosed and treated in a public primary care clinic in Curitiba, Paraná, Brazil. Patient gave her consent for the exposure of the case for academic purposes. Results: BPP, female, 66 years old, African American, in treatment for: non-insulin-dependent diabetes mellitus, heart failure and arrhythmia. Evaluation of a one-day spontaneous blister in right pre tibia region with no history of trauma. Local measures and orientation are prescribed. After one week blister has grown to approximately 7 cm wide, no signs of inflammation, tense and thik skin and burning sensation. The next day patient returns due to spontaneous rupture of the blister with citric secretion. Evolves to local infection treated with antibiotics. Complete cure in 12 weeks. Conclusion: Bullosis diabeticorum is a rare disease associated with chronic diabetes mellitus. The diagnosis is essentially clinic and must be remembered when big tense blisters with no inflammatory sign appear in patients with long term diabetes or with chronic complications due to the diabetes.