The differential of vesicles/bullae in the external ear are Ramsay Hunt Syndrome and bullous myringitis. Ramsay Hunt Syndrome is an extremely painful manifestation of varicella zoster virus and is one of the indications for IV acyclovir. It can also include hyperacusis and loss of taste to the anterior 2/3 of the tongue. Bullous myringitis (image on right) is seen atypical (non-productive cough) pneumonia from mycoplasma.
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Treatment of Bullous Pemphigoid helps control the itch and blisters and help the skin heal. The treatment will depend on how much of your skin is involved.
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