a 35 yr old female presented to er with extensive skin leisons with crests and blood and serous discharge also pus.suggest diagnosis

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Erythema, Necrosis n Bullous detachment of Epidermis n Mucous membrane, Resulting in Exfoliation n possible Sepsis--- It's a case of: ---TOXIC EPIDERMAL NECROLYSIS(TEN). It has been believe that STEVEN -JOHNSON SYNDROME(SJS), also is a manifestation of da same process involved in TOXIC EPIDERMAL NECROSIS(TEN). D/D: OVERLAP STEVEN JOHNSON SYNDROME(SJS) & TOXIC EPIDERMAL NECROSIS(TEN).

TEN
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Looks like pemphigus vulgaris. Just fragile/ flaccid bullae , ruptured and crusted. No denudation of sheets of skin to qualify SJS/ TEN nor any mucosal involvement is shown in photo. Should have given clear history and other photos .

EXTENSIVE PEMPHIGUS VULGARIS TREAT BY PATIENT 1HOSPITALIZATION FLUID AND ELECTROLYTE MANAGEMENT IV STEROIDS IV ANTIBIOTIC ANTIHISTAMINIC WOULD /LESION CARE LIKE BURN PATIENT

Agree with you sir
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Now is the time , Dr Naveen kumar to speak out what has been decided in ER and later on admission. Otherwise the post is meaningless, in my opinion. Act and act now , please.

pemphigus vulgaris
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HIV&HBsAg to be done. In HIV positive or immunodefficient person can have crusted skin lesions in Scabies also. Confirm by investigations & treat accordingly.

I agree
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Steven Johnson's syndrome

go for skin excision. n wash the.. wounds m thn bandage the wound with using JATYADI TEIL by pressing the wound hard.. not so hard..........its a best treatment. n fr deep wounds u can go with NEOMYCIN... and JATYADI TEIL. bandaging ok go for it fast

Toxic epidermal necrolysis or Paraneoplastic pemphigus what is the age of patient

Steven Johnson's syndrome, should be managed in burn unit.

Exfoliative Dematitis -Drug related or Auto immune?

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