Teledermatology is the delivery of dermatologic health care to remote locations by means of telecommunications and information technology. It facilitates delivery of services by a dermatologist at a different time and place than the patient who receives them. Both real-time videoconferences and store-and-forward systems have proven to be highly reliable and accurate in teledermatologic diagnosis compared to traditional face-to-face diagnosis.

Sunday, June 12, 2005

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

posted by Dr. Shahbaz A.Janjua at 5:11 AM

1 Comments:

Blogger Dr Ian McColl said...

Dear Shahbaz,
Sulfapyridine could be tried in these circumstances. Other corticosteroid-sparing agents that may be beneficial include azathioprine, cyclosporine, and colchicine, but the risk-benefit profile for some of these therapies may not justify their use. Luckily most cases do respond to dapsone.
Best wishes
Ian.

5:19 AM

 

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