JPSIM Journal of Pakistan Society of Internal Medicine J Pak Soc Intern Med 2709-8729 2710-0804 Pakistan Society of Internal Medicine 10.70302/jpsim.v2i1.2117 jpsim.v2i1.2117 Case Report Bullous Diabeticorum: A Rare Cutaneous Manifestation in Diabetic Patients Nazar Madeeha madeehanazar@gmail.com * Sharif Shawana Khalid Abdullah Yousef Muhammad Ismail Khalid Anjum Nida Holy Family Hospital, Rawalpindi Benazir Bhutto Hospital, Rawalpindi Agha Khan University, Karachi University of Louisville Hospital, USA *Correspondence: Madeeha Nazar (madeehanazar@gmail.com) 13 03 2021 2021 2 1 63 64 13 11 2020 23 01 2021 Copyright © 2021 The Author(s) 2021 The Author(s) https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

We hereby report an unusual case of Bulla involving the palmer aspects of fingers of a Diabetic patient with

poor glycemic control. The Bulla were fluid filed and developed spontaneously without any history of trauma,

friction or burn. Histopathology was typical of Bullous Diabeticorum without any inflammatory infiltrates.

Bulla were aspirated and patient was given oral antibiotics for prevention of secondary infection along with anti

Diabetic drugs to improve glycemic control.

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