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Vesiculobullous Hailey-Hailey disease: Successful treatment with oral retinoids
Authors:Michelle J Hunt  Elizabeth LC Salisbury  Dorothy M Painter  Stephen Lee
Affiliation:Department of Dermatology, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia;Department of Anatomical Pathology, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia
Abstract:A 56-year-old male presented with a pruritic, generalized vesiculobullous eruption. His past history revealed classical symptoms of limited Hailey-Hailey disease for 34 years. Clinically, vesicles, bullae and occasional pustules were present and multiple biopsies confirmed this to be an unusual presentation of Hailey-Hailey disease. Various therapeutic modalities including topical and oral antibiotics, oral prednisone and dapsone failed to achieve sustained remission. Treatment with lowdose oral etretinate (25 mg daily) produced marked clinical improvement with complete suppression of new vesicle formation after 6 weeks.
Keywords:benign familial chronic pemphigus    etretinate
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