What is the best way to treat pemphigus

High-calorie diet, regular calcium supplementation, regular potassium supplementation, regular supplementation of various vitamins, followed by hormones**.

If it's really sick, John is not very serious, you can use E8 degree high, if the disease is called long, it is very important, you must go to the hospital for surgery, and other ways** to treat this wound** do not use it indiscriminately.

Western medicine is also possible, but long-term medication is required, so it is recommended that you use traditional Chinese medicine**.

The basic principles are similar to pemphigus. The amount of corticosteroid required to control bullous pemphigoid lesions is small, usually 40 to 60 mg of prednisone daily. After blister control, gradually reduce the dose to the maintenance amount 2 weeks later, and take it for a long time, generally about 2 years.

Patients who are not suitable for receiving corticosteroids**, such as diabetes, tuberculosis, etc., can use dapsone (100-150 mg d) or immunosuppressants such as tripterygium wilfordii polyglycosides, azathioprine, methotrexate, etc.**. Since most of the patients are elderly and frail, whole-body support** is also important. During long-term use of corticosteroids, attention should be paid to the prevention of adverse reactions and**.

a). 1.Corticosteroids are preferred**. Because the majority of patients are older and the disease course is relatively good, corticosteroid doses are lower than those in pemphigus vulgaris.

Generally, prednisone 40 80 mg daily or the same amount of other corticosteroids, such as methylprednisolone, etc., is gradually reduced after the disease is controlled.

2.Immunosuppressants can be treated with azathioprine 100 150 mg daily or methotrexate 25 50 mg intravenously once a week, in combination with corticosteroids or alone.

3.Sulfapyridine, dapsone 50 150mg d, also has a certain curative effect. In rare cases, tetracycline 500 mg 3 times a day and nicotine 500 mg 3 times a day are used. It also has certain curative effects.

4.A high index of suspicion should be maintained for secondary bacterial and fungal infections caused by immunosuppression caused by corticosteroids and immunosuppressants.

5.Local** is basically the same as pemphigus.

Traditional Chinese medicine refers to pemphigus.

ii) Prognosis. The disease is a chronic process, with a period of remission and remission, and the main cause of death is secondary bacterial infections such as bronchopneumonia, sepsis, etc. The prognosis is relatively poor with age.

Pemphigus is predominantly treated with corticosteroids**. Let's discuss the amount of hormone below.

1. Patients with mild symptoms refer to skin lesions that occupy less than 10% of the body surface area, and the dosage of hormones is generally selected. It can be used in patients with oral mucosal lesions.

2. Moderate patients refer to skin lesions that occupy 10 -30% of the body surface area, and we can choose the dosage of hormones.

3. Severe patients, for patients with skin lesions accounting for 30 -70% of the body surface area, can use the amount of prednisone.

4. Severe patients refer to skin lesions that occupy more than 70% of the body surface area. Prednisone can be used. It should be noted that after taking the drug, it should be closely observed for 3-5 days, if there are still more new blisters, and the original erosion surface does not improve, the dose can be increased by 50% until the skin lesions are completely controlled.

The dose of complete control of skin lesions is the control amount, which can be reduced after 2 weeks of complete healing of skin lesions, and gradually enters the maintenance stage.

Nutritional support. Enhanced support** with an easy-to-digest diet rich in nutrients; Prevent and correct hypoproteinemia by maintaining water, electrolyte and acid-base balance.

Topical care. The care of mucosal erosion and the prevention of secondary infection are important links to alleviate the pain of patients and improve the efficacy.

Wipe the erosive mucosa with a saline cotton ball every day. For patients with extensive skin lesions, exposure** is generally used, that is, the lesion is cleaned and dressing is changed without bandaging. Take exposure** should pay attention to the room temperature and avoid cold.

For small lesions, corticosteroid-containing ointments and antibiotic creams can help improve the risk of infection.