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الدكتور علي الطويل
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الأسئلة المجابة 37599 | نسبة الرضا 97.6%
الرد من العميل
rhabks for the quick response and so I would like to someone of you's help with skin autoimmune disorders.
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sorry for the miss typing I mean thanks
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yes
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of course doctor which is having hyperthyroidism and schezphrina
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and unfortunately, this rare condition is claimed to be pemphigus vulgaris
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which is quite very risky
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okay sure and I think that's about it but for the condition history info this has been about 10 Months
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And so I wonder what other medcine options are that are less risky sir
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Hello Dr Suliman, I am yet looking forward to your response. I hope you could give a clear answer on that but I can have an answer about that or I can send more details if need to. thanks, Ziad
إجابة الخبير: الدكتور محمد عسفة
الدكتور محمد عسفة
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الأسئلة المجابة 12503 | نسبة الرضا 98%
Pemphigus vulgaris is a rare dermatological disease that affect skin layers and cause eruption of skin blisters that cause skin damage and ulcerations, its considered an auto immune disease which should be treated by local application of Clobetazol cream once daily. in addition th the use of Rituximab under observation of dermatologist. In some cases systemic prednisilon therapy is indicated.
Investigations
After proper physical exam, cbc should be done to look for infection, skin biopsy would confirm a diagnosis of PV, Kidney fucntion tests Urea, Cr to look for kidney damage
Symptomes
Skin bullae
skin ulceration
Hyperpigmentation
Our advice
You are adviced to avoid sun exposure and consult a dermatologist
الرد من العميل
Hello MohAsfa,could you please clarify more about the treatments and its options for example other kind of medicines such as oral cellcept immunosuppressants and their risks. I highly appreciate your expertcy but if you could also get immunodermatologist opinions on it this which be really appreciated and I would be ready to do support or pay anything if you guys could help us.Best regards, Ziad
إجابة الخبير: الدكتور علي الطويل
الدكتور علي الطويل
طبيب
الأسئلة المجابة 37599 | نسبة الرضا 97.9%
It's a a medicine that contains the active material of Mycophenolate which is an a class of medications that belongs to immunosuppressants. It works by weakening your body's defense system (immune system) to help your body accept the new organ as if it were your own.
Side effects of this medication:
Every medicine comes with side effects and this medicine might cause some of them such as constipation, nausea & vomiting, headache, diarrhea, stomach upset, tremor (hand shaking), dizziness or drowsiness, or trouble sleeping.
Precautions to use this medicine:
It's not recommended to use this medication if you have any of the following:
- Allergy to the medication
- Hepatitis B,C
- Cancer
- Kidney disease
- Herps infection or shingles
- HIV infection
- Tuberculosis
Recommendation:
It's highly recommended to visit you GP to discuss about this medicine in detail.
الرد من العميل
Hello Doctor, I was really looking forward to this message from you but unfortunately it only showed the title and then nothing else appears. I mean this could be technical or something else but I would really appreciate and would be happy to give something for you time and effort if you could help me soon. Thanks
الرد من العميل
Hello Doctor, I was really looking forward to this message from you but unfortunately it only showed the title and then nothing else appears. I mean this could be technical or something else but I would really appreciate and would be happy to give something for you time and effort if you could help me soon. Thanks
إجابة الخبير: الدكتور علي الطويل
الدكتور علي الطويل
طبيب
الأسئلة المجابة 37599 | نسبة الرضا 97.5%
It's a a medicine that contains the active material of Mycophenolate which is an a class of medications that belongs to immunosuppressants. It works by weakening your body's defense system (immune system) to help your body accept the new organ as if it were your own.
Side effects of this medication:
Every medicine comes with side effects and this medicine might cause some of them such as constipation, nausea & vomiting, headache, diarrhea, stomach upset, tremor (hand shaking), dizziness or drowsiness, or trouble sleeping.
Precautions to use this medicine:
It's not recommended to use this medication if you have any of the following:
- Allergy to the medication
- Hepatitis B,C
- Cancer
- Kidney disease
- Herps infection or shingles
- HIV infection
- Tuberculosis
Recommendation:
It's highly recommended to visit you GP to discuss about this medicine in detail.
الرد من العميل
Hi doctor Ali, I appreciate your information that you shared o this. But when I say side effects I mean the serious side effects. complications such bone weakness being claimed in this medcine and also high rate of infection? Do you believe that immunosuppressant cases can live safely particularly in this situation?
الرد من العميل
Hi doctor Ali, I appreciate your information that you shared o this. But when I say side effects I mean the serious side effects. complications such bone weakness being claimed in this medcine and also high rate of infection? Do you believe that immunosuppressant cases can live safely particularly in this situation?
إجابة الخبير: الدكتور علي الطويل
الدكتور علي الطويل
طبيب
الأسئلة المجابة 37599 | نسبة الرضا 97.8%
Immunosuppressants stop your immune system from damaging healthy cells and tissues, so they are medications that keep your immune system in check.
Do immunosuppressants affect bones?
Patients who receive immunosuppressive drugs frequently experience very rapid and clinically deleterious bone loss.
What are the potential risks or complications of immunosuppressants?
A suppressed immune system has a hard time fighting off infections. You have a higher risk of developing:
- Blood infections like MRSA and sepsis.
- Fungal infections like thrush and skin fungus.
- Skin infections like cellulitis.
- Respiratory infections, including colds, flu and pneumonia.
When should you call your healthcare provider?
You should call your healthcare provider if you experience:
- Extreme fatigue or weakness.
- Lower back pain.
- Nausea, vomiting, abdominal pain or weight concerns.
- Painful urination or frequent urination.
- Signs of infection, including fever and chills.
Recommendation:
Follow up with your health provider.
الرد من العميل
Hi Dr Sulaiman, sorry your message dies not show but instead it is just shown as blanket so can you please help me with getting the message? Thanks
الرد من العميل
Hi Dr I think it seemed to be a technical issue and so I copied it and pasted it the I found your response so do you mind clarifying more about message and the information source person if they are a specialist? so that I can get in touch with them for treatment
إجابة الخبير: الدكتور علي الطويل
الدكتور علي الطويل
طبيب
الأسئلة المجابة 37599 | نسبة الرضا 98%
Immunosuppressants stop your immune system from damaging healthy cells and tissues, so they are medications that keep your immune system in check.
Do immunosuppressants affect bones?
Patients who receive immunosuppressive drugs frequently experience very rapid and clinically deleterious bone loss.
What are the potential risks or complications of immunosuppressants?
A suppressed immune system has a hard time fighting off infections. You have a higher risk of developing:
- Blood infections like MRSA and sepsis.
- Fungal infections like thrush and skin fungus.
- Skin infections like cellulitis.
- Respiratory infections, including colds, flu and pneumonia.
When should you call your healthcare provider?
You should call your healthcare provider if you experience:
- Extreme fatigue or weakness.
- Lower back pain.
- Nausea, vomiting, abdominal pain or weight concerns.
- Painful urination or frequent urination.
- Signs of infection, including fever and chills.
Recommendation:
Follow up with your health provider.
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الدكتور علي الطويل
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الأسئلة المجابة 37599 | نسبة الرضا 97.6%
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