Case Reports
6 June 2023

Bullous pemphigoid triggered by dulaglutide: a case report and a review of the literature

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Bullous pemphigoid (BP) is an autoimmune disease with a chronic relapsing course, predominantly affecting elderly people. Drugs are one of the possible triggers. A class of antidiabetic drugs often associated with the development of BP are inhibitors of dipeptidyl peptidase 4 (DPP-4 inhibitors or gliptins), while less known is the association with glucagon-like-peptide-1 receptor agonists. We describe a case of BP caused by dulaglutide and summarize the other few cases described in the literature. As a class of drugs widely used in clinical practice, it is important to know about this possible adverse event.

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Citations

Moro F, Fania L, Sinagra JLM, et al. Bullous pemphigoid: Trigger and predisposing factors. Biomolecules 2020;10:1-29.
Ujiie H, Muramatsu K, Mushiroda T, et al. HLA-DQB1*03:01 as a Biomarker for Genetic Susceptibility to Bullous Pemphigoid Induced by DPP-4 Inhibitors. J Invest Dermatol 2018;138:1201-4.
Tasanen K, Varpuluoma O, Nishie W. Dipeptidyl peptidase-4 inhibitor-associated bullous pemphigoid. Front Immunol 2019;10:1-10.
García Castro R, Godoy Gijón E, González Pérez AM, Román Curto C. Bullous pemphigoid and DPP4 inhibitors. Med Clin (Barc) 2019;153:368-71.
Fukuda G, Yoshida T, Hirayama A, et al. Dulaglutide-related bullous pemphigoid in a patient with type 2 diabetes: A case report. Geriatr Gerontol Int 2019;19:1289-90.
Burruss CP, Jones JM, Burruss JB. Semaglutide-associated bullous pemphigoid. JAAD Case Reports 2021;15:107-9.
Collins MK, Choudhary S, Ho J, Bunimovich YL. Bullous pemphigoid triggered by liraglutide. Cutis 2021;107:E9-E11.

How to Cite



Bullous pemphigoid triggered by dulaglutide: a case report and a review of the literature. (2023). Dermatology Reports, 15(3). https://doi.org/10.4081/dr.2023.9676