Hello doctor, I am an 80-year-old male. I have big water or fluid blisters throughout the body. There is also a formation of the skin after the collapse of the blister. The skin is also peeling. It is becoming red, itching, painful and unbearable. I have no sugar. I am on Clobetasol cream, Levosiz (Levocetirizine) and Azathioprine tablets, and Sefdin (Cefdinir) capsules 300 mg. But, to no use. It is still becoming very serious. I have no previous issue except TB. I have been tested for sugar and thyroid and both are fine. Please help. I have attached photographs for your reference.
Hello. I saw the clinical pictures (attachment removed to protect patient identity). The diagnosis in a broad term is a vesiculobullous disorder of which it is more in favor of bullous pemphigoid or pemphigus vulgaris considering his age. The patient requires detailed full body examination including mouth, eyes, genitals and needs hospital admission. I would suggest you visit a medical institute where they have a facility for investigation and admission. Urgent care is needed. Investigations to be done include skin biopsy, Tzanck smear, and a routine blood workup. For more information consult a dermatologist online -->