text: Yo, check it out, let me rap it for you,
  'Bout a condition called Bullous Pemphigoid, it's true,
  A blistering disorder, subepidermal in nature,
  Common in the elderly, those over sixty, major.
  
  But hold up, here's a twist, a different case to share,
  A 41-year-old lady with lesions to beware,
  Started with Hijama therapy, that's the spot,
  Blistering spread, took over, couldn't be stopped.
  
  Punch biopsy was done, the results were clear,
  Direct immunofluorescence, showed BP was near,
  Anti-BP180 level at 178 RU/mL,
  But the anti-BP230 level? Negative, hard to tell.
  
  Now here's the deal, the Hijama site caused a fuss,
  Antibody response triggered, spreading like a cuss,
  Blistering all over the trunk, epitope spreading,
  Causing pain and discomfort, no doubt it was dreading.
  
  We dug deep, checked the literature, what's the scoop?
  Found 22 cases of trauma, BP on the loop,
  Collected info on clinical, immunological, and more,
  This article's the first on Hijama-induced BP, encore!