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Related Experiment Videos

Cicatricial pemphigoid--a case report.

C Ramanan1, A Ghorpade, M N Das

  • 1Department of Dermatology and Venereology, JLN Hospital & Research Centre, Bhilai Steel Plant, Bhilai, India.

Indian Journal of Dermatology, Venereology and Leprology
|August 1, 2007
PubMed
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Cicatricial pemphigoid (CP) is a rare autoimmune blistering disease affecting mucous membranes. This case study details a 60-year-old male patient with CP who experienced significant mucosal and skin involvement, responding to treatment but suffering vision loss.

Area of Science:

  • Ophthalmology
  • Dermatology
  • Autoimmune Diseases

Background:

  • Cicatricial pemphigoid (CP) is a chronic autoimmune blistering disease primarily affecting mucous membranes.
  • Mucosal involvement can lead to significant morbidity, including ocular complications and vision loss.
  • Early diagnosis and appropriate management are crucial for improving patient outcomes.

Purpose of the Study:

  • To describe a case of cicatricial pemphigoid in a 60-year-old male.
  • To highlight the diagnostic process and treatment response in a patient with extensive mucosal and skin lesions.
  • To emphasize the potential for severe ocular complications in CP.

Main Methods:

  • Clinical case presentation of a 60-year-old male with suspected cicatricial pemphigoid.

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  • Histopathological examination for diagnosis confirmation.
  • Treatment with oral steroids and dapsone.
  • Main Results:

    • The patient presented with conjunctival, nasal, and oral mucosal involvement, alongside skin lesions.
    • Histopathology confirmed the diagnosis of cicatricial pemphigoid.
    • The patient showed a positive response to treatment with oral steroids and dapsone.
    • Despite treatment, the patient experienced irreversible vision loss in one eye.

    Conclusions:

    • Cicatricial pemphigoid can present with diverse mucosal and cutaneous manifestations.
    • Prompt histopathological diagnosis is essential for effective management.
    • While treatment can control disease activity, severe complications like vision loss remain a significant concern in CP.
    • Multidisciplinary management is often required for patients with extensive CP.