18. Why salt water to clean ?
Hypertonic salt solution absorbs oozing fluid and loosens crust .
19. What foods to eat ?
Soft food Rice, Daal ,Sprouts, Wheat, Porridge, Semolina Porridge,Idli,Dosa,Upma,Poha,SoftChapati,Roti,Bread,Biscuits,ButterMilk,Lemonade.
20. Which fruits to eat ?
Papaya, Chickoo, WaterMelon, Orange,Grapes,Kiwi.
21. Which foods to stop ?
Vegetables: garlic, onion, mustard, turnip, broccoli, radish, cabbage, cauliflower, potato, leek, shallots, chives, tomatoes, ginger Fruits and nuts: mango, raspberry, pistachio, avocado, cherry, cashew, banana, cranberry, guarana, pear, blackberry, walnut, peach Masticatories and stimulants: coffee, tea, betel nut leaf, katha, cassava Beverages: beer, wine, soft drinks Miscellaneous: ice cream, candy, baked foods, spices (red chillies), aspartame, sodium benzoate, tartrazine, coloring agents, nutritional supplements Water: high tannin content in Brazil river water may be the reason for endemicity of fogo selvagem. Tannins can be removed by chlorination, which would explain why the incidence of fogo selvagem has decreased with urbanization.
22. What fruits to avoid ?
Apple,banana,mango,grape,peach,avacado,raspberry,cranberry.
23. It is contagious spreads to family if we touch them ?
No. Pemphigus vulgaris isn’t contagious and cannot be transmitted from one person to another.
24. Will I get if my family member has Pemphigus Vulgaris ?
It also doesn’t appear to be transmitted from parent to child. However, a person’s genes can put them at a higher risk for the condition. If your parents or other family members had or have the condition, you’re more likely to develop it.
25. Appropriate wound care is particularly important , as this should promote healing of blisters and erosions ?
Handle skin very gently to avoid causing new blisters and erosions. Wear surgical gloves and use aseptic technique when changing dressings. Analgesics may be needed especially for dressing changes. Gently cleanse with an antiseptic solution or take a bleach bath .Saline compress Drain intact blisters, but leave the blister roof in place. Apply a bland emollient ointment, such as 50% white soft paraffin + 50% liquid paraffin, directly to the skin, or apply the ointment to a dressing. Use non-adherent dressings (such as petrolatum-soaked gauze or silicone mesh). These may incorporate an antiseptic. Be vigilant in identifying and treating any infection.
26. When was this disease named ?
A milestone in the study of pemphigus was made in 1964 when Beutner and Jordon first described the pemphigus antibodies that reacted to the keratinocyte surface.
27. Percentage of cases in world ?
Its incidence ranges from 0.76 new cases per million/year in Finland and 3.5 new cases per million/year in Japan to 16.1 cases per million/year in Jerusalem worldwide, the incidence highest in Ashkenazi Jews of Mediterranean origin.8, PV is more frequent than PF –France, for example, PV accounts for 73% of cases of pemphigus, Finland, Brazil, and Tunisia; in the latter two, there are endemic foci of PF.9
In Brazil, endemic foci of PV are suspected in the central-west (Brasilia, DF) Brazil and in the United Kingdom the incidence has increased in the last decade, Israel a reduction was observed over the last 16 years.8–10
Similarly to other autoimmune diseases, PV is more prevalent among women. The male/female ratio ranges from 1:1.5 in Israel and Iran to 1:4 in Tunisia. PV may occur at any age, and disease onset is usually between 40 and 60 years of age. An increased frequency in the elderly and children has been observed. Interestingly, in some countries of the Middle East and Brazil, disease onset is earlier: a Brazilian study estimated that 17.7% of cases occur before the age of 30 years.8–10
Prevalence in India – The incidence of pemphigus has varied widely,0.09% to 1.8% among the outpatient dermatology attendees.2,3 The incidence assessed by clinic-based questionnaire survey conducted in Thrissur district, Kerala, was 4.4 per million population per year.4 A majority of pemphigus patients have been diagnosed to have PV, the proportion varying between 75% and 96% of total pemphigus patients.3–5 Of the available data for 500 pemphigus patients treated at All India Institutes of Medical Sciences (AIIMS), 444 (88.8%) patients had PV, 33 (6.6%) patients had PF, 18 (3.6%) patients had pemphigus erythematosus (PE), while 5 (1%) patients had pemphigus vegetans.6 In another review of 224 cases, it was found that PV was most common among all pemphigus patients followed by PF, PE, and pemphigus vegetans in decreasing order of frequency.5
Overall, it appears that both sexes are equally affected, though few studies reported contrasting results with either male5 or female2,3 predominance.
In India, pemphigus occurs in a younger age group as compared to western countries and is commonly found in third and fourth decades. In a study from north India, 75% of the patients were aged less than 45 years, and children aged less than 15 years accounted for 3.7% of cases.3 In one study, young patients less than 40 years of age composed >50% of total patients (51.85%),2 the age of youngest patient in a series by Ambady is 5 years.