An integrated approach is recommended in bullous pemphigoid

Commentary on ‘Coexistence of bullous pemphigoid with neuropsychiatric comorbidities is associated anti-BP230 seropositivity’ by Ständer et al. Through this research, Sonja Stander and collaborators found a way to detect the link between (BP) comorbidities1 like Alzheimer disease (AD), Parkinson (PD) other neurological diseases (ND) in such patients. A blood test can seropositivity, emerged as an independent predictor comorbidity BP. What does that mean for clinical dermatologist? The dermatologist receiving new patient BP should look at seropositivity any cognitive impairment (CI) together mental health disorders. There are easy tools diagnose CI rapidly Mini-Mental State Examination (MMSE) Montreal Cognitive Assessment (MonCA). If positively detected, it important know prognosis worse risk relapse much higher. Those patients be referred neurologists further assessments treatment. Remarkably, study2 38 patients, was up 28% MMSE 89% MoCA scale tends have higher sensitivity diagnosis mild (MCI). This screening supported study fact markedly high ratio who were screened positive after being excluded from existing ND, verified neurocognitive dysfunctions. Patients early detection even dementia been reported more effectively treated thus could improve their quality life.3 We not forget take pressure because values lead strokes vascular which also trigger factor However, some adverse reactions psychopharmacology drugs affect skin. Drugs particularly elevated included periciazine, melperone, haloperidol, biperiden risperidone. Moreover, psychiatric side effects oral corticosteroids frequently prescribed extended include mood disorders, anxiety, panic delirium, agitation, insomnia or suicidal behaviour.4 has systemic therapies. putative antibiotics, beta-blockers, non-steroidal anti-inflammatory (NSAIDs), diuretics and, recently, anti-tumour necrosis (TNF) used treatment malignancies.5 mind too. It seems significant develop PD during follow-up.6 confused extrapyramidal antipsychotics. Here collaboration psychiatrists essential. Finally, nationwide retrospective Finnish population,7 several correlations strongest developing multiple sclerosis (MS). Amongst diseases, corresponding schizophrenia personality pruritus precede blistering skin months, disturb sleeping, strongly affecting individual’s cognition well. research help those before diagnosing them sine materia anxious In conclusion, all these data inviting into account follow-up professionals specialists. None declare. None.