Ocular cicatricial pemphigoid: Methotrexate as an initial treatment?

Smichowski, Andrea María; Caputo, V; Romeo, Cecilia; Rivero, Estela; Morales, Natalia; Casado, Gustavo

doi:10.1016/j.reumae.2020.10.003

Cited by 1 publication

(2 citation statements)

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“…Cicatricial pemphigoid may appear in the same location, but unlike localized vulvar BP, cicatricial pemphigoid is frequently associated with synechiae and scars. Localized vulvar BP has a good prognosis and usually responds to potent topical corticosteroids, 4–6 whereas cicatricial pemphigoid may need more intensive therapy with systemic immunosuppressants, with methotrexate being a good initial option 7 . Systemic corticosteroids, immunosuppressants, and dapsone have been used successfully in patients with BP who had not responded to topical treatment 5 …”

Section: Discussionmentioning

confidence: 99%

“…Localized vulvar BP has a good prognosis and usually responds to potent topical corticosteroids, [4][5][6] whereas cicatricial pemphigoid may need more intensive therapy with systemic immunosuppressants, with methotrexate being a good initial option. 7 Systemic corticosteroids, immunosuppressants, and dapsone have been used successfully in patients with BP who had not responded to topical treatment. 5 Localized vulvar BP may go undiagnosed.…”

Section: Discussionmentioning

confidence: 99%

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Vulvar erosions in a young girl

Taibo

Colmenero

Campos‐Domínguez

et al. 2023

Pediatric Dermatology

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Vulvar erosions in a young girlA 6-year-old girl presented with itchy and painful erosions on the external genitalia for the last 2 months (Figure 1). She had been previously treated with topical antifungal and low-potency corticosteroids for a couple of weeks with no response. The patient did not report systemic complaints. Her past medical history was not significant.Cutaneous examination did not reveal lesions elsewhere on the skin, oral or conjunctival mucosa. A skin biopsy was performed (Figures 2 and 3).

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Section: Discussionmentioning

confidence: 99%