From: KSmithDerm@aol.com
 

I've treated several adultsw and kids who had erythema multiforme or
Stevens-Johnson with Cy-A - never failed yet - wonder drug - patients 
usually
improve greatly in a couple of days, and are able to stay out of the burn
unit. Haven't even admitted anyone to hospital yet, with without Cy-A there
are a couple who I'd have shipped off to the tertiary care center as soon as
I walked in the room. Start at 5-10 mg/kg for a few days, then taper to
whatever is the minimum needed to do the job. One patient with chronic EM
adjusts her own dose of Cy-A between 100 and 300 mg/d depending on how 
things are going. This allows us to keep the cumulative long term dose as 
low as
possible while getting good results.

Also have one lady with gross paraneoplastic pemphigus secondary to
colorectal ca who settled right down with Cy-A and is doing fine. Wouldn't
have tried it on my own, but Charlie Perniciaro from Mayo Clinic 
Jacksonville
reported a case of paraneoplastic pemphigus that did well on Cy-A [my 
patient
blesses you Charlie!].

KC Smith, MD, FRCPC