A 54-year-old woman presents to the ED with a painful rash. She experienced severe mouth sores and pain with swallowing for the
past week and then developed this rash. Physical exam is shown above. Nikolsky sign is positive. Which of the following conditions is commonly associated with this disease process?
This patient is having all of the symptoms and signs of Myasthenia gravis which is also connected to pemphigus vulgaris. This autoimmune disease can be life threatening if not caught and treated early.
This skin disease can be greater found in these populations:
Jewish
Mediterranean
Signs and symptoms of Myasthenia gravis also include;
hoarse voice
membrane lesions
bullous rash
dehydration
This can only be diagnosed via a skin biopsy and treatment needs to be started immediately. The treatment for this is steroids and immunomodulators.
I would tell him that other foods give you vitamin A other than carrots and he probably gets the recommended amount of vitamin A without knowing it, or he could just eat another carrot if he's that worried about it.
