A 19-year-old male student from Thanh Hoa, Vietnam was diagnosed with a rare disease that had not been previously recorded in Vietnamese medical literature. The patient began experiencing erosive ulcers on the oral mucosa and purple-red patches and scalds on his body in November of the previous year. After being initially examined at a local hospital, he was transferred to the Central Dermatology Hospital and then to Bach Mai Hospital for further treatment.
Despite being initially diagnosed with toxic epidermal necrolysis in January of 2024, the patient’s symptoms persisted and continued to worsen. He was also diagnosed with paraneoplastic pemphigus, bilateral ureteral stones, and a weakened physical condition. Despite being scheduled for surgery, his weakened state forced him to be discharged from the hospital for nutritional supplementation. However, he experienced new outbreaks of symptoms in April, leading to more treatment including plasma replacement and antibiotics. In May, he underwent surgery to remove the tumor, resulting in a successful recovery and discharge from the hospital.
Throughout the treatment process, medical professionals faced challenges due to the patient’s inconsistent symptoms and histopathological results. Despite these difficulties, doctors continuously consulted and researched to provide the most accurate diagnosis and care. The patient’s poor response to conventional immunotherapy along with other complications made the treatment process even more challenging but with dedication of medical professionals involved they were able to help him recover from this rare disease.
The patient was covered by health insurance for most of the treatment costs, with his family contributing a smaller amount. Paraneoplastic pemphigus is a rare disease typically associated with lymphoproliferative disorders and is more common in older individuals. The successful treatment and recovery of the young student serve as a testament to the dedication and expertise of healthcare providers involved.
The case study highlights how healthcare providers can use their expertise to overcome challenges when treating rare diseases like paraneoplastic pemphigus that have no standardized treatments or cures available. Additionally it emphasizes on how collaboration between healthcare providers can lead to better outcomes for patients who are facing complex health conditions like this one.
It also serves as an example of how important it is for healthcare providers to stay up-to-date on new research findings related to rare diseases so that they can provide their patients with cutting edge care options while continuing their ongoing education throughout their career journey.