Abstract
A 71-year-old, Caucasian male being treated for pemphigus vulgaris (PV) by his local doctor with methotrexate 20 mg/week was referred with an 8-week history of grouped vesicles, some with erosions on the right side of the face (Fig. 11.1) and a 4-week history of a painful left anterolateral thigh. He had been diagnosed with PV 3 years previously and had been on prednisone for 19 months; the highest dose given was 100 mg/day. He had previously reacted badly to cyclophosphamide and azathioprine. His systemic steroid was gradually being tapered depending on his response to the medication. His last flare up was 3 months earlier, after which he was started on methotrexate 30 mg/week. Prior to this admission, he had achieved control of disease activity of his PV and was managed with prednisone 50 mg/day and methotrexate 20 mg/week.
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Yang, X., Doria, M.J.C., Murrell, D.F. (2015). A 71-Year-Old Man with Blisters on the Face and a Painful Left Thigh. In: Murrell, D. (eds) Clinical Cases in Autoimmune Blistering Diseases. Clinical Cases in Dermatology, vol 5. Springer, Cham. https://doi.org/10.1007/978-3-319-10148-4_11
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DOI: https://doi.org/10.1007/978-3-319-10148-4_11
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