Presentation
In this study of skin biopsy specimens from 14 patients we present evidence that complement and immunoglobulins were present by direct immunofluorescence in the epidermal intercellular spaces in all patients. [ncbi.nlm.nih.gov]
We report a patient of pemphigus foliaceus who was presented with verrucous surfaced plaque, which clinically mimicked pemphigus vegetans. [pesquisa.bvsalud.org]
Page Excerpt: Pemphigus foliaceus Presentation stereotypical Age and sex Adults usually and of both sexes Distribution of lesions Localized to photodistribution in pemphigus erythematosus; widespread in pemphigus foliaceus Individual lesions Macules, [derm101.com]
Entire Body System
- Fever
If you’ve been diagnosed with pemphigus already, you should contact your doctor if you develop: new blisters or sores a rapid spread in the number of sores fever redness or swelling chills weakness or achy muscles or joints Some people get better without [healthline.com]
Signs of a skin infection include: pus at a skin wound intense pain at the site of a blister red streaks out of a wound or blister fever exhaustion nausea Share on Pinterest Sun exposure and sunburn may trigger PF. [medicalnewstoday.com]
Azathioprine-induced drug fever has been observed in a pemphigus patient. [ijdvl.com]
- Chills
If you’ve been diagnosed with pemphigus already, you should contact your doctor if you develop: new blisters or sores a rapid spread in the number of sores fever redness or swelling chills weakness or achy muscles or joints Some people get better without [healthline.com]
The lesions progressed slowly, eventually covering her entire skin surface, accompanied by general malaise, chills, and edema of the lower extremities. [hindawi.com]
- Burning Pain
Together these features contribute to frequent diagnostic delay.2 Patients complain of burning, pain, and puritis.1 While PF is less severe than other blistering disorders, significant morbidity and mortality results if left untreated.2 Pemphigus foliaceus [practicaldermatology.com]
Scaly, inflamed, painful patches on the skin. These patches occur after blisters burst. Some people may only notice symptoms after the blisters burst. Burning, pain, and itching at the site of the blisters. [medicalnewstoday.com]
- Constitutional Symptom
Secondary bacterial infection is common which may lead to constitutional symptoms, malodorous smell of the mucous membrane, and skin lesions. Differential Diagnosis of Pemphigus ‘Pemphigus syphiliticus‘: occurs in some babies. [drmhijazy.com]
Respiratoric
- Cough
Repeated coughing and a hoarse voice may be indicators of blistering in the pharynx and larynx. Esophageal involvement can present as dysphagia, but can also be asymptomatic. [clevelandclinicmeded.com]
In children, ask about cough, chest pain, hoarseness, or difficulty swallowing (symptoms of thymoma; thymoma in adults is usually asymptomatic early on.) [dermatologyadvisor.com]
Skin
- Blister
(Simuliidae), suggesting an environmental link Management Steroids fogo selvagem (fo'go, goo sel-va'zhem) [Portuguese, literally “wild fire”], FS An autoimmune disease that causes blistering of the skin of the head, neck or trunk, esp. when the skin [medical-dictionary.thefreedictionary.com]
The diagnosis of fogo selvagem is based on both the local prevalence of the disease and its characteristic blisters and a positive Nikolsky sign (where gently rubbing affected skin causes a blister to form). [dermnetnz.org]
The blisters don’t itch. They can be painful. Blisters may then appear on the skin and sometimes on the genitals. Pemphigus foliaceus Pemphigus foliaceus doesn’t cause blisters in the mouth. The blisters first appear on the face and scalp. [healthline.com]
Pathol. any of several diseases, often fatal, characterized by blisters on the skin and mucous membranes. [1770 80; < NL < Gk pemphig (s. of pémphix) bubble + L us n.… … Universalium [translate.deacademic.com]
- Skin Disease
It is a very comprehensive and practical guide and should not be missed by those treating patients with skin diseases. [books.google.de]
Abstract Brazilian pemphigus foliaceus is a blistering skin disease endemic to central and southern areas of South America. [ncbi.nlm.nih.gov]
• Brazilian pemphigus foliaceus is a blistering skin disease endemic to central and southern areas of South America. [jamanetwork.com]
Abstract Pemphigus foliaceus (PF) is a blistering autoimmune skin disease rare in most of the world but endemic in certain regions of Brazil. [medworm.com]
- Nikolsky's Sign
It is manifested clinically by involvement of healthy-appearing skin that blisters when rubbed (Nikolsky sign). PF usually does not involve mucous membranes. In 1844, Pierre Louis Alphee Cazenave reported the first authenticated description of PF. [imagejournals.org]
They will look for an indicator of the condition called Nikolsky’s sign. A positive Nikolsky’s sign is when your skin shears off easily when the surface is wiped sideways with a cotton swab or a finger. [healthline.com]
- Dermatitis
Dermatitis herpetiformis (Excoriated papules) Fig. 288. Dermatitis herpetiformis Fig. 289. [drmhijazy.com]
الصفحة 516 - Werner Y, Lindberg M: Transepidermal water loss in dry and clinically normal skin in patients with atopic dermatitis. Acta Derm Venereol (Stockh) 1985;65:102-105. [books.google.com]
Pagina 516 - Werner Y, Lindberg M: Transepidermal water loss in dry and clinically normal skin in patients with atopic dermatitis. Acta Derm Venereol (Stockh) 1985;65:102-105. [books.google.ro]
[…] bullous pemphigoid antigen; component of hemidesmosome ) – subepidermal nonacantholytic blisters from basal cell vacuolization – DIF: continuous linear deposition of IgG along basement membrane with complement fixation – tense bullae with pruritus # Dermatitis [usmle287.wordpress.com]
- Eczema
Types & treatments Childhood eczema Adult eczema Insider secrets Types of hair loss Treatment for hair loss Causes of hair loss Hair care matters Insider secrets What is psoriasis Diagnosis & treatment Skin, hair & nail care Triggers Insider secrets What [aad.org]
Cancer, Sunscreen Warnings, Acne, Aesthetic Mishaps, Eczema View Issue [practicaldermatology.com]
Abstract A 55-year-old woman presented after a four-year history of impetiginized eczema that was distributed over her face, scalp, chest, and back and a recent diagnosis of breast cancer. [escholarship.org]
Eczema herpeticum was seen in 4 patients, while 2 had extensive tinea corporis. [ijdvl.com]
This may easily be mistaken for more common problems such as eczema or fungal infections or seborrhoeic dermatitis, but does not respond to treatments for these conditions. It may spread to the body and become painful. [dermcoll.edu.au]
Neurologic
- Burning Sensation
These findings may explain the "burning sensation." [20] [emedicine.medscape.com]
Lesions are typically painful and patients often describe a burning sensation. In PF and endemic PF, disease may be localized to seborrheic areas such as the face, scalp or upper trunk or it may generalize resulting in an exfoliative erythroderma. [dermnet.com]
A burning sensation or localised pain may be felt. [dermnetnz.org]
Treatment
Alongside technology, new drugs, methods and treatments are continuously developed for the treatment of all common skin diseases. [books.google.de]
الصفحة 7 - A et al: A comparison of the efficacy and safety of adapalene gel 0.1% and tretinoin gel 0.025% in the treatment of acne vulgaris: A multicenter trial. [books.google.com]
(no treatment, treated, and post-treatment). [journal.frontiersin.org]
Autoantibodies deposited in the intercellular spaces in titers ranging from 1:10 to more than 1:1280, and the titers drastically decreased during treatment. [ncbi.nlm.nih.gov]
Biologics: This is a newer treatment option. One biologic, rituximab, seems promising. It appears to offer safe treatment. [aad.org]
Prognosis
In general, PF and PE have a better prognosis than pemphigus vulgaris. However, prior to the advent of glucocorticoid therapy, the mortality rate was as high as 60%. [dermnet.com]
[…] malignancy, and our present observation draws ... more Abstract Fogo Selvagem (Wildfire) is a cutaneous disease characterized by a specific epidemiology, generalized distribution of bullae followed by an exfoliative erythroderma, and frequently, a grave prognosis [scinapse.io]
The objective of this analysis is to compare pemphigus vulgaris and pemphigus foliaceus, concerning demographic data, clinical course, and prognosis. Thus, the authors are sharing their experience in the management of these two major variants. [emjreviews.com]
With adequate treatment, the prognosis of fogo selvagem is good with no long-term sequelae. See smartphone apps to check your skin. [Sponsored content] Related information References Abréu-Vélez A, Reason M, Howard S & Roselino A. [dermnetnz.org]
Key words: pemphigus; vulgaris; foliaceus; epidemiology; mortality; prognosis. Accepted May 22, 2017; Epub ahead of print May 24, 2017 Acta Derm Venereol 2017; 97: xx–xx. [medicaljournals.se]
Etiology
The possible relationship of an elevated level of IgE with respect to other aberrations of immunologic responsiveness and the suggested infectious etiology of BPF are considered. [ncbi.nlm.nih.gov]
Inflammatory cytokines and apoptosis are also involved. [15] Its etiology is unknown, but blister formation appears to be mainly IgG4 mediated. [emedicine.medscape.com]
Additionally, we are investigating the etiology of Brazilian PF (Fogo Selvagem) as a joint project with Brazilian investigators. The research projects of this laboratory are supported by NIH. [med.unc.edu]
Shoenfeld received the EULAR prize in 2005, in Vienna, Austria: "The infectious etiology of anti-phospholipid syndrome". [books.google.ro]
Epidemiology
The disease follows the course of streams and creeks and vanishes after urbanization of the endemic areas. [10] Epidemiologic findings indicate that peasants exposed to black fly bites are 4.7 times more likely to develop fogo selvagem than those who [emedicine.medscape.com]
[Pg. wild fire] A form of pemphigus foliaceus, an autoimmune blistering disorder, which is endemic in rural Colombia and Brazil Epidemiology Fogo selvagem affects children and young adults and is distributed along rivers within the flying range of blackflies [medical-dictionary.thefreedictionary.com]
Epidemiologic data strongly support the notion that this disease is caused by exposure to an environmental agent or agents. [ncbi.nlm.nih.gov]
Pathophysiology
Patient case no. 10989 Date added 03 June 2011 Patient details Age Adult Location Brazil Localisation Trunk / entire trunk Description Pemghigus foliaceus in a patient from Brazil, where fogo selvagem is prevalent Primary Lesions Bulla / blister Crust Pathophysiology [dermquest.com]
The pathophysiological process is controversial, but it is certain that pemphigus vulgaris causes mucosal and skin lesions, reaching the suprabasal layer by producing desmoglein-3. [scielo.br]
Objectives: Review the pathophysiology of pemphigus foliaceus. Describe the typical presentation of pemphigus foliaceus. Outline the treatment options for pemphigus foliaceus. [ncbi.nlm.nih.gov]
[…] death occurring in PF.65,76 Infection is often the cause of death, and therapy is frequently a contributing factor because it causes the immunosuppression necessary to treat active disease.77 The effective management of PF requires a knowledge of the pathophysiology [mdedge.com]
However, because the desmoglein ELISA measures both pathogenic as well as nonpathogenic antibodies (see “Pathophysiology” below), positive desmoglein ELISA index values may still be observed in patients in remission. [dermatologyadvisor.com]
Prevention
These can prevent the blisters from getting infected if they break open. If blisters cover a lot of your skin, you might need to stay in the hospital for treatment. Doctors and nurses will clean and bandage your sores to prevent infection. [healthline.com]
Dermatologist-approved lesson plans, activities you can use Free to everyone, these materials teach young people about common skin conditions, which can prevent misunderstanding and bullying. [aad.org]