“…Before corticosteroids, the mortality rate ranged from 70% to 100%.4,5 Early treatments included coagulin, iron cacodylate, immune sera from the "bacteria of pemphigus," and intravenous administration of gentian violet and membromin. 2 Since the advent of corticosteroids in the early 1950s,10 the mortality rate associated with pemphigus vulgaris has dropped to 7.6%. 5 Steroids are thought to cause the production of inhibitors of plasminogen activator.4 Certain modes of steroid therapy, such as lowdose steroids alone, high-dose steroids only (for severe cases), or initial high-dose steroids followed by low-dose maintenance steroids, treat pemphigus vulgaris adequately and may avoid many steroid-related complications such as infection, cushingoid symptoms, occult gastrointestinal bleeding, diabetes , peripheral edema, and psychological manifestations.…”