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patient has been diagosed with bulbus pamphigus,age 88,male

By Anonymous June 5, 2010 - 10:18pm
 
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At present iching in body,redness in skin and watery balls in feet,toes and heal.Brief history post PPI for CHB(1994),REPLACEMENT 2002,FUC of CAD-post-PTCA+stent to LAD/LCX(cypher),moderateLV dysfuction. After coronary stenting in jan 2008 iching started throughout the body . Moistrusirers and petroleum jelly were applied throughout the body. 2009 watery balls appeared . After skin biopsy bulbus pamphigus was diagnosed . Tab omnicartel,atarax and hh fudic treatment was given for 3-4 months and there was complete cure. After stopping of omnicartel the iching started again with red skin.From last three months omnicartel was stopped and diprovat+ cream and atarax 25 twice a day is administered along with following regular medicines :-

clavix75 OD ,imdur30 OD,cardace2.5 twice a day,atorlip10 OD,amaryl1 OD,PANTOP-DSR40 OD,neucobal twice a day,lasiclactone half a day.
weght - 54 kgs,normal active
please advice treatment for skin problem.

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Hi Anonymous

This is a difficult thing to experience. Bullous pemphigoid is an autoimmune disease that causes you skin to blister. It can be very mild or extremely uncomfortable. The only good thing to say about it is the condition is usually self-limiting, meaning it eventually disappears in most cases.

Until it goes, it is treated as many autoimmune illnesses are; with drugs to suppress the immune system as well as drugs to help mitigate the symptoms. Steroids, sometimes long-term low dose antibiotics, and chemo type drugs are often given to tamp down the immune response. I found a few good resources for you:
The American Osteopathic College of Dermatology has a nice little article http://www.aocd.org/skin/dermatologic_diseases/bullous_pemphigoid.html, Mayo Clinic has a section on it at http://www.mayoclinic.com/health/bullous-pemphigoid/DS00722/DSECTION=treatments%2Dand%2Ddrugs, and I don't know if you are aware of it, but there is an Internation Pemphigus and Pemphigoid Foundation that you may find helpful. They have information as well as support: http://www.pemphigus.org/index.php?option=com_content&view=article&id=366&Itemid=100080.

I'm sorry you are going through this, and I hope these sites will help you. Take care and let us know how you do.

June 7, 2010 - 6:55am
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