Updates on the management of autoimmune blistering diseases.

Published

Journal Article (Review)

Autoimmune blistering diseases are rare, but potentially debilitating cutaneous disorders characterized by varying degrees of mucosal and cutaneous bullae formation. Topical therapy is appropriate for mild and even some moderate disease activity, but systemic treatment can be considered for more extensive involvement. Corticosteroids remain the first-line systemic therapy for patients with moderate to severe bullous pemphigoid and pemphigus vulgaris. While the use of systemic steroids has dramatically reduced mortality from these two autoimmune blistering disorders, treatment is also associated with multiple side effects, especially when used long-term. Steroid sparing agents, therefore, are invaluable in inducing long-term remission while minimizing steroid associated side effects. Treatment must be tailored to the individual patient's condition, and several other factors must be carefully considered in choosing appropriate therapy: 1) diagnosis, 2) severity of the condition and body site affected, 3) presence of comorbidities, and 4) ability to tolerate systemic therapy.

Full Text

Duke Authors

Cited Authors

  • Hooten, JN; Hall, RP; Cardones, AR

Published Date

  • September 2014

Published In

Volume / Issue

  • 19 / 5

Start / End Page

  • 1 - 6

PubMed ID

  • 25405675

Pubmed Central ID

  • 25405675

International Standard Serial Number (ISSN)

  • 1201-5989

Language

  • eng

Conference Location

  • Canada