Linear IgA dermatosis resistent to oral dapsone and steroids

This 4-year-old boy presented with seven month history of developing a vesiculobullous eruption affecting the lower limbs, the buttocks, and the face. Physical examination revealed mutiple clear round vesicles, bullae and erosions on large erythematous back ground. Many of the bullae were arranged to depict string of beads and cluter of jewls signs. Oral mucosa was not involved. A tzank smear and gram stain were negative. Other tests are pending. How would you treat this patient if his condition fails to respond to oral dapsone and steroids?

Ayza Skin Research Center, Lalamusa, Pakistan View more images on Global Skin Atlas

Generalized lichen planus...what should be the treatment strategy?

Oral Lichen planus. The patient had extensive areas of skin, mucosa and nails involved. An increasing number of generalized LP cases is being reported. I usually ask for anti HCV, but it turns out to be positive in only a few cases. What would be the preferred treatment option for such florid cases? View Images