10 yr old girl with complaints of fluid filled lesions all over body and oral ulcers since three weeks differentials??

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Differential are , Pemphigus vulgaris Bullous pemphigoid Hailey Hailey Disease Linear IgA Dermatosis Paraneoplastic Pemphigus Pemphigus foliaceus Pemphigus herpetiformis Adv for Lesion Biopsy. CBC ESR LFT RFT CXR URM Serum electrolytes ,Antibodies Titre Medication for P.vulgaris. Rx General measures include hygiene, prophylactic antibiotics and antifungal,dressing,fluid and electrolytes balance. Medication Oral Corticosteroids. Oral Tetracycline. Nicotinamide Mouths wash Oral paste of Triamcinolone +antifungal. Other suppressive therapy, Azathioprine Cyclophosphamide Dapsone Mycophenolate mofetil Intravenous immunoglobulin Plasmapheresis Rituximab Infiximab

Good information
1

Pemphigus like look

Pemphigus vulgaris. Usually fatal. Needs expert dermatologist opinion. Transfer to hospital. Isolation. Dressing. Systemic steroids. Immunosuppresants. Plasma exchange. IV immune globulin.

This child should be referred to a Dermatologist who can treat the pt as a in patient.

Pemphigus vulgaris (?)

Pemphigous bukhari.

Vulgaris spelling typing mistake
1

Psoriasis?

Pemphigus vulgaris.. Rx- arogyavardhni,+ gandhak rasayan+ guduchi powder+ khadira powder+ vasapowder- orally Local application- panchvalkal kwath Mradhuvirechan- panchtiktaghrita ghrit+ warm milk

Sir kindly go for tissue diagnosis and as well concerned specialist opinion and treatment .

@Dr. Navya Pawan -pamphigus vulgaris

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