Conversation: The conversation between human and AI assistant.
[|Human|] I am a dental hygienist and a patient of mine has had chronic blistering open lesions on her lower lip since april. She has been tested for herpes, and cancer- botChatDoctore up negative. They are checking her for lupus. Any ideas? It looks very painful and is crusty with bleeding. This pt does have a history ofhypertension.
[|AI|]  Thanks for your query, I have gone through your query. The crusty bleeding blisters over the lip can be because of the Memphis or bulbous emphasis or mucous membrane pemphigoid. If I am your treating doctor, I would suggest you to get an immunofluorescence test(direct or indirect). This test confirms the diagnosis. In this also you can go for indirect method where they will Chat Doctor. Meanwhile, you can be topical anesthetic and analgesics like 2% lidocaine and choline salicylate Ga (Anabel gel) apply 3-4 times daily before food and topical steroid like triamcinolone acetone 0.1% 4-5times daily after food. I hope my answer will help you, take care.