Clinical pharmacist intervention in exacerbated Pemphigus vulgaris

Abstract

Patient had a history of Pemphigus Vulgaris for past 3 years and was now admitted due to the sudden extensive flare up. The subject complained painful erosions covering more than 40% of the body surface area. Lesions started orally and were short lived and formed peripheral extensive erosions. Periorbital and Perioral lesions were present. Patient was immediately initiated on Corticosteroids and antibiotics. Protein supplementation, Condy's Compression along with other local applicants were prescribed. A partial pulse with Dexamethasone was given for two days. The overwhelming number of medications that created confusions of administration for the care taker were resolved through elaborate patient counseling. Apart from adverse drug reactions monitoring which forms a part of clinical pharmacist responsibilities, this case shows the inevitability of clinical pharmacist in educating patients and their care takers in both medication management and need for the compliance.