What is the role of aspiration and debridement in the treatment of bullous disease of diabetes (bullosis diabeticorum)?

Updated: Feb 04, 2019
  • Author: Maureen B Poh-Fitzpatrick, MD; Chief Editor: Dirk M Elston, MD  more...
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Answer

Aspiration of fluid from bullous disease of diabetes lesions with sterile technique using a small-bore needle may prevent accidental rupture. Immobilization may prevent damage to the blister. Secondary tissue necrosis may necessitate debridement and possible tissue grafting. Aggressive wound healing intervention, as enacted with diabetic ulcers, is critical, should the blister become unroofed. Patients with confirmed bullous disease of diabetes should be monitored for development of secondary infection until lesions heal entirely.

See Diabetic Foot Infections for more information on this topic.


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