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Caring for damaged skin
is a major part of recovery

The basics are easy to learn and help make the patient heal faster and more comfortable

When pemphigus or pemphigoid patients are on strong immunosuppressant medication, the most important next step is reducing the chance of infection. Open wounds require specific treatment and frequent attention to keep the patient comfortable and promote healing. Anything that comes in contact with a wound should be sterile.

1. Keep the wound clean. Inspect wounds often for signs of reddening, swelling or oozing liquids that are the signs of infection. If infection is suspected, call your physician promptly.

Cleaning open wounds is best left to a professional, but cleaning around the wounds can be done with a mild soap and soft cloth. Avoid excess scrubbing that may further damage sensitive skin. Antibacterial cleaners are not recommended.

2. Use the appropriate topical medications. Your doctor will tell you which topical medications to use. Follow the directions given. A wound heals better if it is kept moist, but not too moist. Do not use fingers to apply topical medication. Place the medication on the dressing and apply it to the wound to avoid contaminating the wound or the medication.

3. Protect the wound with the best dressings. There are a number of modern dressings today that actually help a patient heal by using the body's own natural processes. A wound should be covered with a dressing that allows for air flow, but also protects against bacteria or other contaminants in the air.

Gauze, especially gauze alone, is not a good idea because it tends to stick to the wound. Dressings that do not stick, such as Telfa® non-stick pads are a better choice. They cost more than regular bandages, but since they can be left on the wound longer they may be cheaper in the long run. They are certainly more comfortable than bandages that stick to the skin or the wound itself. (If a dressing does stick to a wound, soak it in warm water until it loosens.) Cloth tape, used to hold dressings in place should be replaced with paper tape that is less sticky.

Be sure the patient is warm enough, but excessive heat is not good as sweat may increase the chances of infection. Changing dressings can be done with bathing, perhaps before meals, to reduce discomfort to the patient. Ask you doctor about what can be added to bath water to help reduce itching.