Immunobullous Disease Clinic

Acquired, or autoimmune, blistering skin conditions are diseases caused by a breakdown of connections between the epidermis and dermis on the skin and the mucosa that results in widespread blistering and ulcerations of the skin. The Immunobullous Disease Clinic at Dartmouth Hitchcock Medical Center (DHMC) is led by Dr. Brian Simmons.

Common conditions

Some of the conditions treated include:

  • Bullous pemphigoid and pemphigoid
  • Cicatricial pemphigoid/mucous membrane pemphigoid
  • Dermatitis herpetiformis
  • Epidermolysis bullosa acquisita
  • Linear IgA bullous dermatosis
  • Paraneoplastic pemphigus
  • Pemphigus foliaceous
  • Pemphigus vulgaris

What to expect from your appointment

History and physical exam

A thorough review of your health history and outside records will be done, including prior blood tests and skin biopsies, if these have been performed. A medical examination of your skin to determine disease severity.


If a blistering skin condition is suspected, a biopsy, or small sample of the skin or affected tissue for analysis in the laboratory for confirmation and determination of exact etiology.

Blood test

Your dermatologist may order additional blood work evaluate for circulating antibodies that are specific for certain blistering skin conditions.

Based on a patient’s history/physical exam and the overall severity of their condition, a personalized treatment plan is created that incorporates treatments to address a patient’s cutaneous manifestations of disease severity and a patients overall health/other medical problems.

More information about immunobullous diseases

These organizations have additional details about these diseases.

Appointments and referrals

Ask your dermatologist for a referral to the Immunobullous Disease Clinic. Our clinic is typically scheduled on the third Tuesday of the month between 1:00 pm and 5:00 pm.

Immunobullous Disease Clinic providers

Brian J. Simmons, MD


I became a doctor because I wanted to take my interest in science and apply it to medicine. I choose my specialty because it offers me a dynamic balance between medical, surgical, and cos… Read more

Areas of focus

  • Skin cancer diagnosis, treatment and prevention
  • Immunobullous Diseases i.e. Pemphigus Vulgaris and Bullous Pemphigoid
  • Psoriasis and Atopic Dermatitis
  • Complex Medical Dermatology
  • And 1 more areas of focus


  • Lebanon

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