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Related Experiment Videos

Hailey-Hailey disease treated with methotrexate.

Antonietta D'Errico1, Diletta Bonciani, Veronica Bonciolini

  • 1Department of Medical and Surgical Critical Care, Section of Dermatology, University of Florence, Florence, Italy.

Journal of Dermatological Case Reports
|July 25, 2012
PubMed
Summary

Methotrexate is a potential treatment for Hailey-Hailey disease (HHD), a chronic blistering condition. This study found it effective for a patient unresponsive to other therapies, suggesting it for long-term management.

Keywords:
Hailey-Hailey diseasemethotrexatepemphigus

Related Experiment Videos

Area of Science:

  • Dermatology
  • Immunology

Background:

  • Hailey-Hailey disease (HHD) is a chronic, recurrent blistering disorder.
  • Characterized by erosions in intertriginous regions and suprabasal acantholysis.
  • Often presents a therapeutic challenge due to resistance to conventional treatments.

Observation:

  • A long-standing case of HHD initially unresponsive to cyclosporine and steroids was reported.
  • Treatment with methotrexate (7.5 mg weekly for 16 weeks) yielded a good response.
  • Topical steroids were used as needed for symptom management.

Findings:

  • Methotrexate demonstrated significant efficacy in managing a refractory HHD case.
  • Intramuscular methotrexate, combined with topical steroids, proved beneficial.
  • The treatment regimen was well-tolerated, leading to disease control.

Implications:

  • Methotrexate may be a viable therapeutic option for Hailey-Hailey disease.
  • It could serve as a valuable maintaining therapy to control disease flares.
  • Further research into methotrexate's role in HHD management is warranted.