Abstract
Iranian soldiers and citizens were attacked by chemical warfare used by Iraqi army during Iran- Iraq war (1980-1988) several times. Many acute and chronic manifestations, like psoriatic plaques and bullous eruptions, have been reported. This is the first report of co-occurrence of psoriasis and bullous pemphigoid in a chemical warfare victim.
The patient is a 42- year- old woman injured by sulphur mustard in Sardasht, Iran (1985). Five years after injury, some scaly erythemtous plaques appeared on her skin and pathologic report showed psoriasis. Eight years after exposure the patient was referred with similar plaques and at the same time with several intact bullae on her limbs and trunk. Pathologic examinations of specimens taken from bullae confirmed the bullous pemphigoid. A good response to 40 mg prednisolone daily obtained but psoriatic lesions relapsed several times and other therapies were performed. Co-occurrence of psoriasis and bullous pemphigoid has already been reported but not in a chemical warfare victim. Further studies must be done on the mechanism of this correlation.