# Glucocorticoids Combined with Methotrexate in the Treatment of Psoriasis Merged with Bullous Pemphigoid: A Case Report and Literature Review

## TL;DR

Combining glucocorticoids and methotrexate effectively treats psoriasis with bullous pemphigoid, reducing steroid use while maintaining remission.

## Contribution

This case report introduces a steroid-sparing treatment regimen for a rare psoriasis complication.

## Key findings

- Combined glucocorticoid and methotrexate therapy rapidly controls disease progression.
- The treatment achieves sustained remission while minimizing long-term steroid use.
- Long-term monitoring is necessary to manage potential recurrence during steroid tapering.

## Abstract

For psoriatic patients who develop bullous pemphigoid, a rare yet serious complication, prompt initiation of combined glucocorticoid and methotrexate provides rapid disease control and sustained remission. This regimen serves as an effective steroid‐sparing strategy, though long‐term monitoring remains essential to manage recurrence risks during steroid taper.