A 36-year-old man presented with a 3-month history of recurring, fragile vesicles and bullae over the dorsal aspect of both hands that seemed to develop secondary to minor hand trauma. His history was remarkable for polycystic kidney disease that resulted in end-stage renal disease (ESRD) and required continuous cyclical peritoneal dialysis, which began 7 months before the occurrence of his skin lesions. The patient denied any personal or family history of similar lesions. His medications included lisinopril, nifedipine, atenolol, lovastatin, erythropoietin, iron and multivitamin supplementation, and calcium acetate. He denied alcohol intake.
Viernes JL, Grimwood R. Bullous Eruption in a 36-Year-Old Man With Polycystic Kidney Disease. Arch Dermatol. 1999;135(1):81-a-86. doi:10-1001/pubs.Arch Dermatol.-ISSN-0003-987x-135-1-dof0199