Bullose diabétique

Bullosis diabeticorum is a rare skin complication of diabetes, it is un an usual bullous dermatosis, particular by its exclusive occurrence in diabetics. We report a case of a 59 years old patient with a history of diabetes mellitus treated by insulin for 30 years and pulmonary pleurisy treated 3 years ago and who consulted for recent and spontaneous bullae, localized in hands (A) and feet (B). Their contents were serous as well as hemorragic. Clinically, peripheral neuropathy was also noticed. The evolution under symptomatic treatment was favorable. Bullosis diabeticorum is a rare condition that occurs in 0.5% of diabetics and could be secondary to vascular alterations which can be the cause of skin fragility and cleavage of the skin. The frequent presence of peripheral neuropathy may also explain the preferential distal localization of lesions. Therapeutically, no particular treatment seems necessary except local antiseptic care after the recess bubbles. Bullosis diabeticorum is a characteristic skin complication of diabetes. Its etiology is still unknown. Its evolution is benign and its management is essentially preventive.