What is the diagnosis??

96years old non-diabetic Male, having repeated appearance of these type of vesicles, painful, no itching. No associated fever, no lymphadenopathy. Chief Complaints 96years old non-diabetic Male, having repeated appearance of these type of vesicles, painful, no itching. No associated fever, no lymphadenopathy. History Repeated appearance of this type of lesion in last 2 months. Vitals BP- 132/ 86 PM of hg Physical Examination Weakness Investigations FBS-92, HB- 12gm% Diagnosis ??? Management ??

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Bullous pemphigoid... It is most common in older adults. 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... I think pt must be seen by surgeon.

Looks like "BLISTER" ????? Bullosis Diabeticorum. R/0 Diabetes Alternatively.

Herpes infection. Treatment- valcivir 1gm OD 7 days, tab Azithro 1gm Once stat, tab Allegra 120mg 1 HS 7days

herpes labialis

This is loosening of skin due to loss of fat.high protein diet,vitamins to give.

Stomatitis lack of vitamins

@heavy bleeding.dub ? How to manage?

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