Dermatology: Dr. Abdulqadir M. Moalim
Dermatology: Dr. Abdulqadir M. Moalim
Dermatology: Dr. Abdulqadir M. Moalim
BULLOUS DISEASES
Blistering can occur at any level in the skin and, as
such, there are a variety of different presentations,
depending on the underlying defect and level of
involvement.
TEN
TEN
Identification and discontinuation of the causative drug are
essential. Intensive care in a dedicated dermatology ward
or intensive care or burns unit is of paramount importance.
Treatment is supportive, with regular sterile dressings and
emollients, careful attention to fluid balance and monitoring
for infection. Urethral and ocular involvement is common
and must be looked for and treated symptomatically, as
ocular and urethral scarring in survivors can be problematic.
Immunobullous diseases
Bullous pemphigoid
Management
Very potent topical steroids to all sites may be
sufficient in frail elderly patients. Tetracyclines, such as
doxycycline, have an important role and may limit the
use of systemic corticosteroids. However, most require
systemic corticosteroids, often combined with
azathioprine.
Management