{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T03:28:43Z","timestamp":1780370923214,"version":"3.54.1"},"reference-count":11,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T00:00:00Z","timestamp":1749513600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Palliat Care"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Pemphigus vulgaris (PV) is a chronic autoimmune disease causing painful oral erosions and fragile skin blisters, severely impacting quality of life. This case report presents a 69-year-old female patient in Myanmar with PV complicated by diabetes, hypertension, and thromboembolic conditions. Her extensive skin involvement, severe pain, and recurrent infections emphasized the need for a multidisciplinary approach to management. Palliative care interventions focused on holistic, patient-centered strategies, including effective pain relief with pre-procedural analgesia, meticulous wound care, and strict infection control. Psychological support significantly improved her mental well-being and daily functioning. The case highlights the urgent need for enhanced patient education, continuous follow-up, and structured psychosocial support to optimize treatment outcomes. By implementing these measures, healthcare providers can ensure a more comprehensive approach, improving long-term care and patient satisfaction for individuals living with PV.<\/jats:p>","DOI":"10.1177\/08258597251348106","type":"journal-article","created":{"date-parts":[[2025,6,10]],"date-time":"2025-06-10T03:26:14Z","timestamp":1749525974000},"page":"3-7","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Pioneering Palliative Care in Pemphigus Vulgaris: A Landmark Case Report from Myanmar"],"prefix":"10.1177","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0140-3990","authenticated-orcid":false,"given":"Shoon Mya","family":"Aye","sequence":"first","affiliation":[{"name":"Myanmar Medical Association"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wah Wah Myint","family":"Zu","sequence":"additional","affiliation":[{"name":"Yangon General Hospital"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,10]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1186\/s41702-017-0008-1"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1080\/15360288.2021.1963906"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.4103\/0019-5154.87151"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1159\/000531758"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.2147\/CWCMR.S141948"},{"issue":"5","key":"e_1_3_3_7_2","article-title":"Methylprednisolone pulse therapy plus adjuvant therapy for pemphigus vulgaris: An analysis of 10 years\u2019 experience on 312 patients","volume":"32","author":"Gheisari M","year":"2019","unstructured":"Gheisari M, Faraji Z, Dadras MS, et al. Methylprednisolone pulse therapy plus adjuvant therapy for pemphigus vulgaris: An analysis of 10 years\u2019 experience on 312 patients. Dermatol Ther (Heidelb). 2019;32(5):e13057. doi:https:\/\/doi.org\/10.1111\/dth.13057","journal-title":"Dermatol Ther (Heidelb)"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijso.2022.100549"},{"issue":"5","key":"e_1_3_3_9_2","article-title":"Topical opioid use in dermatologic disease: A systematic review","volume":"32","author":"Gutierrez Y","year":"2021","unstructured":"Gutierrez Y, Pourali SP, Kucharik AH, et al. Topical opioid use in dermatologic disease: A systematic review. Dermatol Ther (Heidelb). 2021;32(5):e15150. doi:https:\/\/doi.org\/10.1111\/dth.15150","journal-title":"Dermatol Ther (Heidelb)"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0825859720946504"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-021-00880-6"},{"issue":"5","key":"e_1_3_3_12_2","doi-asserted-by":"crossref","first-page":"580","DOI":"10.1590\/S0037-86822010000500022","article-title":"Interven\u00e7\u00e3o fisioterap\u00eautica promove melhora na qualidade de vida de indiv\u00edduos com p\u00eanfigo [Physiotherapy intervention promotes better quality of life for individuals with pemphigus]","volume":"43","author":"Tim\u00f3teo RP","year":"2010","unstructured":"Tim\u00f3teo RP, Marques LS, Bertoncello D. Interven\u00e7\u00e3o fisioterap\u00eautica promove melhora na qualidade de vida de indiv\u00edduos com p\u00eanfigo [Physiotherapy intervention promotes better quality of life for individuals with pemphigus]. 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