Wondering questions about Pemphigus vulgaris ?
1.What is Pemphigus vulgaris and is it common?
: PV is an uncommon, potentially life threatening autoimmune disorder characterised by extensive erosions on healthy skin.
2. How do you diagnose Pemphigus?
: Skin biopsy is done from the fresh blister(fluid containing bubble) , microscopy of perilesional skin.
3.What are the follow blood test to keep in track?
: They mostly need frequent monitoring of the CBC (compete blood count), LFT (Liver functional test) and Dsg1 and 3.
4.What is dsg1 and 3 ?
: Evaluation of desmoglein 1 and 3 ie dsg1 and 3 auto-antibodies seem to be more useful for monitoring the extend of the disease and severity by using enzyme-linked immunosorbent assay (ELISA).
5. How often is dsg1 and 3 monitored?
: It is monitored 4th and 8th weeks after the treatment.
6.What is the treatment for Pemphigus vulgaris?
: The treatment includes corticosteroids for few weeks or months to suppress the autoimmune reaction and prevent the formation of new blisters. Immunosuppressant to keep the immune system from attacking. Immunotherapy of Rituximab injection. (About rituximab: refer article https://www.researchgate.net/publication/322657549_Rituximab_in_the_treatment_of_skin_diseases )
7. Is Pemphigus vulgaris contagious?
: No, it is not contagious. You can’t spread the condition to others.
8. Does Pemphigus vulgaris have cure?
: It’s a lifelong condition that can be managed with ongoing treatment. Unfortunately no cure has been found yet.
9. Why is Pemphigus vulgaris fatal?
: It is fatal and their most common cause is due to secondary infection(sepsis) which are developed due to sore patches. It will be life threatening without treatment .
10. Does genetic factors play a role in Pemphigus vulgaris?
: Genetics does play a role, several data are available from genetic epidemiology studies indicating that susceptibility to the disease is inherited. But it is not the case for all the autoimmune disorders, first relative gene depends. And other exogenous triggers as well.
11. What are the triggers for Pemphigus vulgaris?
: The environmental factors, endogenous (such as emotional stress, hormonal disorder), viral attack, surgery, electric burns, dietary factors.
12. What is the key factor for the recovery?
: The key factor is staying active, no matter the level of pain mobility to body and staying happy and having good night sleep are prior.
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