The Importance of a Multidisciplinary Team to Management the Manifestationsof Pemphigus Vulgaris: Eight Case Reports

C. A. B. Silva, A. D. Silva, M. Meurer, F. Modolo, L. Grando
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Abstract

Pemphigus Vulgaris is a chronic autoimmune mucocutaneous disease, in which oral lesions could be the first site observed, although skin and other mucous membranes may also be affected. Clinically, the lesions are characterized by many painful blisters that rapidly rupture resulting in erosions and/or multiple ulcers in the oral mucosa and skin, which can be difficult to differentiate from other vesiculobullous or ulcerative disorders. Many patients may be misdiagnosed and improperly treated for a long time. It is considered a serious chronic disease and its treatment represents a real therapeutic challenge. We present 8 case reports of pemphigus vulgaris, in which a thorough evaluation was made, recording patient age and sex, the location and extent of the lesions, their signs, symptoms and treatment, with emphasis on the difficulty of the diagnosis and clinical management of these patients.
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多学科团队管理寻常性天疱疮表现的重要性:8例报告
寻常型天疱疮是一种慢性自身免疫性粘膜皮肤病,虽然皮肤和其他粘膜也可能受到影响,但口腔病变可能是第一个观察到的部位。临床上,这种病变的特征是许多疼痛的水泡,迅速破裂,导致口腔黏膜和皮肤的糜烂和/或多发性溃疡,这很难与其他小囊性或溃疡性疾病区分开来。许多患者可能长期被误诊和治疗不当。它被认为是一种严重的慢性疾病,其治疗是一项真正的治疗挑战。我们报告了8例寻常型天疱疮的病例,对患者的年龄、性别、病变的部位和范围、体征、症状和治疗进行了全面的评估,重点介绍了这些患者的诊断和临床处理的难点。
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