Dr. Ashwini. V. Swamy
Venereology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
Hello doctor,
I am an 80-year-old male. I have big water or fluid blisters throughout my body. There is also a formation of the skin after the collapse of the blister. The skin is also peeling. It is becoming red, itching, painful, and unbearable. I have no sugar. I am on Clobetasol cream, Levosiz (Levocetirizine) and Azathioprine tablets, and Sefdin (Cefdinir) capsules 300 mg. But to no use. It is still becoming very serious. I have no previous issues except TB. I have been tested for sugar and thyroid, and both are fine. Please help. I have attached photographs for your reference.
Hello,
Welcome to icliniq.com.
I saw the clinical pictures (attachment removed to protect patient identity).
The diagnosis, in a broad term, is a vesiculobullous disorder which is more in favor of bullous pemphigoid or pemphigus vulgaris, considering his age. The patient requires a detailed full body examination, including mouth, eyes, and genitals, and needs hospital admission. I would suggest you visit a medical institute where they have a facility for investigation and admission. Urgent care is needed.
Investigations to be done include skin biopsy, Tzanck smear, and a routine blood workup.
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Venereology
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