The Course and Prognosis of Pemphigus: A Review of 115 Patients

Moshe Seidenbaum, Michael David, Miriam Sandbank

Research output: Contribution to journalArticlepeer-review

Abstract

ABSTRACT: A survey of 115 pemphigus patients who have been followed for 4–24 years was carried out in an attempt to analyze the possible factors influencing the course and prognosis of the disease. At the time of the study, 45 patients were in complete remission, 45 still had lesions, and 25 had died. In 12 cases, the death occurred from causes related to the disease or consequences of treatment. The comprehensive statistical analysis revealed that a good prognosis may be expected for patients who, in the initial stage of the disease, show involvement of the skin only (p < 0.05) and when systemic steroid therapy is instituted within half a year of appearance of the disease (p < 0.05). There were no significant differences in the rate of recovery and mortality between the different groups of patients in regard to the initial dose of prednisone. A daily dose of 120 mg of prednisone was sufficient to control the lesions in most of the severe cases and less contributory to death in comparison with previous studies.

Original languageEnglish
Pages (from-to)580-584
Number of pages5
JournalInternational Journal of Dermatology
Volume27
Issue number8
DOIs
StatePublished - Oct 1988

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