eMedicine Specialties > Dermatology > Bullous Diseases
Pemphigus, Drug-Induced: Follow-up
Updated: Nov 13, 2009
Follow-up
Complications
- Secondary infections may occur in drug-induced pemphigus because of the disruption of the skin barrier. Extensive erosions may promote entrance of bacteria, resulting in cutaneous infections, bacteremia, or sepsis.
Prognosis
- Patients with thiol-induced pemphigus and patients lacking cell surface autoantibodies have a more favorable prognosis. Up to 50% of thiol-induced pemphigus cases remit upon withdrawal of the drug.
- Patients with pemphigus induced by nonthiol drugs are more likely to have cell surface antibodies and to have a chronic course similar to idiopathic pemphigus vulgaris.
Patient Education
- Educate patients about their disease and their medications, including adverse effects from therapy.
- The International Pemphigus and Pemphigoid Foundation, a nonprofit support group for patients with pemphigus and their families, offers an active web site and a quarterly newsletter, as well as local chapters in many parts of the country.
Miscellaneous
Medicolegal Pitfalls
- Failure of dermatologists and other providers to be alert to the role of drugs in causing pemphigus: Offending agents must be stopped and the patient treated appropriately.
More on Pemphigus, Drug-Induced |
| Overview: Pemphigus, Drug-Induced |
| Differential Diagnoses & Workup: Pemphigus, Drug-Induced |
| Treatment & Medication: Pemphigus, Drug-Induced |
Follow-up: Pemphigus, Drug-Induced |
| References |
| « Previous Page |
References
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Further Reading
Keywords
pemphigus, drug-induced pemphigus, antibiotic-induced pemphigus, medication-induced pemphigus, thiol-induced pemphigus, pyrazolone-induced pemphigus
Follow-up: Pemphigus, Drug-Induced