Case Report: Bullous erythema multiforme induced by omalizumab - Takeaways - MDSpire

Case Study: Omalizumab-Induced Bullous Erythema Multiforme

  • By

  • Zenan Tang

  • Yan Zhao

  • July 17, 2026

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  • 1

    Bullous erythema multiforme (BEM) is an acute immune-mediated mucocutaneous disease often triggered by medications.

  • 2

    Omalizumab, a monoclonal antibody for chronic spontaneous urticaria, can induce rare severe cutaneous reactions like BEM.

  • 3

    A 36-year-old woman developed BEM after her first omalizumab injection, presenting with widespread lesions and systemic symptoms.

  • 4

    Laboratory tests revealed elevated eosinophil count and IgE levels, while skin biopsy confirmed the diagnosis of omalizumab-induced BEM.

  • 5

    Treatment with high-dose glucocorticoids and JAK inhibitors was effective in controlling the patient's refractory BEM.

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