Dr. Bharat Lalwala (Dermatology) needs a second opinion on this medical case.
A chronic diabetic patient aged 48 years female developed pruritic vesiculo bullous rash over extremities & trunk.Frequent changes of oral antidiabetic drugs are made due to uncontrolled Diabetes.@
For last 20 days itching & bullae started
Bullae are on erythematous base & tense.
WBC & EOSINOPHYLS RAISED
SERUM IgE markedly raised
Diagnosis & manageent open for discussion