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by Dr Umang Khanna (BHMS)
Bullous pemphigoid is a rare skin condition that causes large, fluid-filled blisters. They develop on areas of skin that often flex — such as the lower abdomen, upper thighs or armpits. Bullous pemphigoid is most common in older adults. Bullous pemphigoid occurs when your immune system attacks a thin layer of tissue below your outer layer of skin. The reason for this abnormal immune response is unknown, although it sometimes can be triggered by taking certain medications. Bullous pemphigoid often goes away on its own in a few months, but may take as many as five years to resolve.
Natrum mur is used for bullous pemphigoid when the key indication is blisters that contain clear and watery content. There may be little itching in the blisters, along with this burning sensation on the skin may precede blister formation.
Anacardium is considered when multiple blisters appear on the skin. The size of blisters varies from pin-head to pea size along with skin redness that is present in a marked degree, and the blisters may be itchy. The itching tends to get worse during the evening. There may be a burning sensation present in the blisters.
When blisters are present on an inflamed red base Dulcamara is drug of choice. The blisters are as large as the size of a pea and are widespread over the body, and the skin feels hot and dry.
Bullous pemphigoid with blisters present with skin redness, Rhutox is the medicine. The blisters contain a clear liquid and are itchy, and the itching tends to get worse after midnight. A burning sensation may be present in the blisters.
Where there are hives like rash present on the skin Apis is the drug of choice. There may be raised patches or wheals present on the skin with a marked stinging sensation. Apart from these, marked itching and intense burning may also be present and cold applications bring relief. Being in the open air also brings relief to the patient.
Lachesis is used for bullous pemphigoid where there is bloody serum in the blisters. It is also indicated for large blisters that are initially yellow initially and then turn dark. The blisters may be itchy with a burning sensation.
Merc sol is best for bullous pemphigoid with blister formation and excessive saliva may be present in the mouth. A metallic, coppery taste in the mouth or an offensive odor is usually present in patients in the patient. , may be inflamed and swollen, and the mucous membrane of mouth is red.
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This clinic is not about giving medicines. This clinic is about curing with medicines rapidly, gently and permanently to the whole extent in the shortest, most reliable and most harmless way.