Abstract
A 53-year old woman presenting with bullae and ulcerations on her lower limbs was diagnosed with coma blisters. In October 25, 2000, she was found by her daughter in an unconscious state, possible due to administration of excessive amount of major tranquilizers and sedatives in an attempted suicide. Upon being transported to our emergency room, apparent tense bullae under comatose condition led to a diagnosis of “coma blister”. The mechanism of coma blisters is not fully understood. Various complications have been reported.
The diagnosis of coma blister is the first line diagnosis in a patient with “blistering in or after coma”. Such patients should be intensively evaluated and treated under consideration of serious complications.