diagnose this condition?

a 26 year old male, came with complaints of superficial lesions all over the body. he has a history of multiple vesicles developing over the body-20 days back for which he has taken some native treatment. the patient developed the condition as shown in the picture 2 days back (as per patient's history) he is not able to talk.(has a whispering voice) lesions present over the oral mucosa too no previous h/o no h/o allergies no comorbidities diagnosis and further management?




PEMPHIGUS VULGARIS WITH SECONDARY INFECTION AND SEPTICAEMIA. It is an acute emergency 1.IV line with inj Piperacillin 4 gm + tazobactum 500 mg × 6 hourly 2.Patenteral steroids 3.Skin dressings similar to burn patients 4.Nutritional support with high proteins , Zinc , Vitamin C and minerals

Bullous pemphigus Staphylococcal SCALED skin syndrome SJS

Thanx dr Vipin Bihari Jain

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Dr.Jeshvin SV, Here visuals shows... Probable causes are 1) ulcerated lesions with crusts and mucosal involvement...painful History of local drug treatment More favor to Drug sensitivity... May be STEVEN JOHNSON S SYNDROME... But to do for CBP, serum SGOT and SGPT if no change in these levels ...more favour SJ syndrome... 2) Multiple crusts with ulcerative lesions.. No intertriginous areas involvement No koebernization Abnormal levels in serum SGOT and SGPT Eosinophilia... No pruritic .. Can exclude the Bullous disorders..

Bullous pemphigoid occurs when your immune system attacks a thin layer of tissue below your outer layer of skin. The reason for this abnormal immune response is unknown, although it sometimes can be triggered by taking certain medications. Autoimmune bullous disorders (ABDs) encompass a number of heterogeneous conditions linked by the loss of tolerance to structural proteins of the skin. . Prednisone is usually given at 0.5–1.5 mg/kg/day as a typical initial dosage.

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Apparently BULLOUS PEMPHIGOID Cephlaxin 500mg 1tds Foristal1bd NSAID's 1bd Soframycin ointment

Thanks Dr. Kute Ankush, Dr. Shivraj Agrawal, Dr. Sanjeev Saikia


Tnx Dr Vipin Bihari Jain

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Pemphigus major, local application of gention violet, inj. Steroids antibiotics, prognosis is poor.

Oral mucosa involvement....it is s.j.syndrome take history of fever...adv low dosing steroid and antiallergics

?? Pemphigus Vulgaris / SJS

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