This study will be done as a double blind placebo controlled clinical trial on 52 patients with 30 to 65 years old affected by pemphigus vulgaris. The patients presenting to RAZI hospital who affected to the illness at least one year and using Prednisolone will be under study in order to determine the influences of L-carnitine supplementation to the total antioxidant and oxidative capacities, serum lipid profiles, psychological status, fatigue and quality of life. Patients will be divided in two groups according to permuted block randomization by using random code receive 1000 mg of L-carnitine or placebo tablets twice a day. The duration of this intervention is 8 weeks; at the beginning and end of the study, 10 cc blood will be taken from patients for measuring the serum concentration of fasting blood glucose, triglycerides, total cholesterol, HDL, LDL, VLDL, TAC, TOC, F2isoprostane and L-carnitine. The dietary data of the patients also will be collected by a 24-h dietary recall for three days (one holiday day and two usual days) at the beginning and end of the study. Also SF-36, GHQ-12, FSS and DLQI questionare will be taken at the beginning and end of the study.