Pemphigus Vulgaris Masquerading as Subcorneal Pustular Dermatoses – A Case Report

Kabra, Vandini and Pai, Kanthilatha and Pai, Sathish B and Shenoi, Shrutakirthi D and Rao, Raghavendra (2014) Pemphigus Vulgaris Masquerading as Subcorneal Pustular Dermatoses – A Case Report. Our Dermatol Online, 5 (2). pp. 157-159.

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Both pemphigus vulgaris and subcorneal pustular dermatoses are intraepidermal blistering disorders though the treatment for the two varies. We present a 26 years old male patient with multiple vesicles and bullae filled with clear fluid as well as pus, hypopyon sign present, predominantly over the trunk and crusted lesions over the scalp. The patient did not have mucosal involvement at presentation and Nikolsky’s and bulla spread sign were negative. A clinical diagnosis of subcornealpustulardermatosis and IgA pempgigus was made; however, direct immunofluorescence was suggestive of pemphigus vulgaris as was histopathology examination. The patient responded to treatment with oral corticosteroids. A previous case report of pemphigus foliaceous presenting as IgA pemphigus and responding to dapsone has been reported and so has a report of pemphigus vulgaris presenting with multiple pustules.

Item Type: Article
Uncontrolled Keywords: Pemphigus vulgaris; IgA pemphigus; Subcorneal pustular dermatosis
Subjects: Medicine > KMC Manipal > Dermatology
Medicine > KMC Manipal > Pathology
Depositing User: KMC Manipal
Date Deposited: 15 Apr 2014 06:03
Last Modified: 07 Nov 2016 11:15

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