What treatment combination approach would you recommend for mucous membrane pemphigoid?  

First, it is important to know the extent and severity of the disease (oral, ocular, esophageal); the type of inflammatory infiltrate on histopathology (neutrophils, eosinophils, or cell-poor); and the results of salt split skin and antibody titers on monkey esophagus and/or target antigens (collage...

I agree with @Guy F. Webster. I have a low threshold for going to rituximab in these patients. There is a huge spectrum of severity of this disease; however, and occasionally, topicals alone are effective for mild disease, but always monitor ocular and other non-oral disease very closely and bring o...

I used to participate in a collaborative clinic with oculoplastics, cornea and derm and the collaboration was critical in treating this terrible disease. MMP is not at all a benign disease. It's ocular scarring is irreversible and disease activity in the eye is hard to monitor since past damage wil...