Title |
Management of pemphigus vulgaris: challenges and solutions
|
---|---|
Published in |
Clinical, Cosmetic and Investigational Dermatology, October 2015
|
DOI | 10.2147/ccid.s75908 |
Pubmed ID | |
Authors |
Stamatis Gregoriou, Ourania Efthymiou, Christina Stefanaki, Dimitris Rigopoulos |
Abstract |
The main objective in the treatment of pemphigus vulgaris is to control the disease, prevent relapses, and avoid adverse events associated with the prolonged use of steroids and immunosuppressive agents. Systemic corticosteroids remain the gold standard treatment for pemphigus vulgaris. Azathioprine and mycophenolate mofetil are the first line of steroid-sparing treatment. Rituximab is extremely effective in recalcitrant pemphigus, when other treatments fail to control the disease. The European Dermatology Forum recommends tapering prednisolone by 25% every 2 weeks after the consolidation phase, and a 5 mg reduction every 4 weeks when the dose is reduced to <20 mg. If the patient relapses, options include increasing steroids back to the previous dose, adding an immunosuppressant if using steroid monotherapy, or replacing a first-line immunosuppressant by another if already on combination therapy. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 1 | 100% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 1 | <1% |
Unknown | 123 | 99% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Postgraduate | 20 | 16% |
Student > Bachelor | 16 | 13% |
Student > Master | 15 | 12% |
Student > Doctoral Student | 12 | 10% |
Other | 8 | 6% |
Other | 13 | 10% |
Unknown | 40 | 32% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 63 | 51% |
Pharmacology, Toxicology and Pharmaceutical Science | 4 | 3% |
Immunology and Microbiology | 3 | 2% |
Agricultural and Biological Sciences | 3 | 2% |
Nursing and Health Professions | 3 | 2% |
Other | 9 | 7% |
Unknown | 39 | 31% |