A patient with progressive bullous pemphigoid developed an occult lung abscess while being treated with high dosage corticosteroids. The lung abscess was successfully treated with long-term, high dosage, intravenously administered penicillin. Resistance to infection while receiving steroid therapy is discussed, and lung abscess as a complication of steroid therapy is reviewed. The insidious appearance of this unusual, but often fatal complication, in a patient with bullous pemphigoid, successfully treated, with concomitant resolution of the pemphigoid, prompted this case report.
Stein KM, Raque CR, Harrell DD, Samitz MH. Lung AbscessComplication of High Dosage Steroids in Bullous Pemphigoid. Arch Dermatol. 1970;102(6):674-676. doi:10.1001/archderm.1970.04000120092018