Authors: Dr Achala Liyanage, Dermatology Fellow, Waikato Hospital, Hamilton, New Zealand; Assoc Prof Patrick Emanuel, Dermatopathologist, Auckland, New Zealand. January 2015.
Brunsting-Perry cicatricial pemphigoid is a rare form of localised cicatritial pemphigoid, commonly occurring on head and neck region. Interestingly, it usually does not involve the mucosal membranes as seen in typical cicatricial pemphigoid. Clinical differential is localisedbullous pemphigoid, in which there is hardly any scarring in comparison to Brunsting Perry cicatritial pemphigoid.
Histology of Brunsting-Perry cicatricial pemphigoid
Microscopy reveals subepidermal blistering with various admixture of inflammatory cell infiltrate. Early lesions may show small papillary microabscesses