Who typically manages pemphigus in peristomal skin?

• A. Dermatologist, along with OMS
• B. Primary care physician
• C. Surgeon
• D. Nurse practitioner

Answer: (A)

Pemphigus is an autoimmune blistering condition that requires specialist dermatology care for accurate diagnosis and systemic treatment. When it involves peristomal skin, an Ostomy Management Specialist works closely with the dermatologist to protect the skin around the stoma, select compatible appliances, and manage moisture, erosion, or leakage that can worsen flares. This interdisciplinary approach—dermatologist overseeing diagnosis and immunosuppressive therapy, with the OMS optimizing skin protection and ostomy care—provides the best overall management for peristomal pemphigus. Primary care, surgeon, or nurse practitioner alone typically cannot cover the specialized diagnostic, treatment, and appliance-management needs required here.