BMJ  2007;335:1152-1154 (1 December), doi:10.1136/bmj.39374.504884.BE

Practice

A Patient's Journey

Pemphigus vulgaris

Siri Lowe, patient

Pemphigus Vulgaris Network, London

siri.lowe@btopenworld.com

Twelve years ago, Siri Lowe developed pemphigus vulgaris, a potentially fatal autoimmune blistering disorder. As her story shows, it can have a devastating impact on patients' lives, as can the side effects of the necessary treatments

The first 150 words of the full text of this article appear below.

Introduction

When my mouth and tongue suddenly became badly blistered in 1995, I never suspected there could be anything seriously wrong with me—this was surely just some crazy infection in my mouth. But it was pemphigus vulgaris, a rare, life threatening, autoimmune disease affecting skin and mucous membranes, and, of course, I'd never heard of it in my life.

I deteriorated quickly and in only five weeks moved from being strong and healthy to being unable to eat solid food, drinking through a straw, and being in agonising pain. I remember walking the London streets in a total daze thinking, "This can't be true, it's like the script of a bad television play." I had no idea how living with a chronic disease would change my life.

There's no cure for pemphigus. No smart drug to take it all away. It is nearly always controllable, but that control comes at a . . . [Full text of this article]

The early days

I had changed

The people around me

Where am I now?

A doctor's perspective
What works well and what doesn't
What works well
What works less well
Useful resources

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Rapid Responses:

Read all Rapid Responses

Novel therapies for pemphigus are desperately needed
Nicola Cirillo, et al.
bmj.com, 5 Dec 2007 [Full text]
Pemphigus is curable in India since 1982
Dr. Jagjit Singh Pasricha
bmj.com, 10 Jan 2008 [Full text]
Pemphigus is Responding to DCP
Dr Rajesh M Buddhadev
bmj.com, 15 Feb 2008 [Full text]



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