Friday, November 03, 2006

ulcers in the mouth

75 year old male presents with ulcers in his mouth. Started five months ago. Ulcers have progressed to around his mouth and on his forearms.
Vitals signs stable.

Oral- multiple bullae in mucosa

Skin - multiple bullae

Labs - biopsy shows antibody pattern in fish-net immunofluorescence pattern
Assessment and Plan
A- Pemphigus

P- corticosteroids
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