Pathology · single question

A case describes mucous membrane pemphigoid. To which specialist should you refer this patient?

  1. Rheumatologist
  2. Cardiologist
  3. Ophthalmologist
  4. Endocrinologist
Show answer and explanation

Correct answer: C. Ophthalmologist

  • A. While rheumatology manages many autoimmune conditions, the critical specialist for MMP specifically is ophthalmology due to blinding ocular complications.
  • B. MMP does not have a primary cardiac component.
  • C. Mucous membrane pemphigoid (MMP) can cause cicatricial (scarring) conjunctivitis leading to BLINDNESS if untreated. Ocular involvement is present in up to 70% of cases. Ophthalmology referral is mandatory to monitor for and prevent permanent vision loss.
  • D. MMP has no endocrine component — endocrinology would not be the appropriate referral.

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