{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T11:29:43Z","timestamp":1788607783913,"version":"build-2803163510"},"reference-count":28,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,3,14]]},"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:p>An elderly Caucasian woman developed bullous pemphigoid (BP) overlying the site of total knee arthroplasty for osteoarthritis 2 days after surgery. The clinical findings were consistent with blistering due to soft tissue swelling, bullous impetigo or allergic contact dermatitis. The blistering spread over weeks to months down the ipsilateral leg and then to the other leg and hips. A biopsy for H&amp;E and direct immunofluorescence established the diagnosis of BP. 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The blistering responded well to superpotent topical steroids and local care.<\/jats:p>","DOI":"10.1136\/bcr-2018-227440","type":"journal-article","created":{"date-parts":[[2019,4,6]],"date-time":"2019-04-06T07:15:10Z","timestamp":1554534910000},"page":"e227440","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":10,"title":["Localised bullous pemphigoid overlying knee arthroplasty: a diagnostic challenge"],"prefix":"10.1136","volume":"12","author":[{"given":"Adam","family":"Truss","sequence":"first","affiliation":[{"name":"Department of Surgery, Arrowe Park Hospital, Wirral, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stylianos","family":"Papalexandris","sequence":"additional","affiliation":[{"name":"Department of Surgery, Arrowe Park Hospital, Wirral, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susan","family":"Gardner","sequence":"additional","affiliation":[{"name":"Department of Surgery, Arrowe Park Hospital, Wirral, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Harvey","sequence":"additional","affiliation":[{"name":"Department of Surgery, Arrowe Park Hospital, Wirral, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2019,4,5]]},"reference":[{"key":"2025082708295622000_12.4.e227440.1","unstructured":"Njrcentre.org.uk. 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