A diagnostic dilemma of pemphigus vulgaris mimicking ecthyma gangrenosum

Authors

  • Navakumar Manickam
  • Ponmalar Thamarai Manimaran Department of Skin & STD, Vinayaka Mission’s Kirupananda Variyar Medical College & Hospital, Vinayaka Mission's Research Foundation (deemed to be University), Salem, Tamil Nadu, India
  • Navakumar Manickam Department of Skin & STD, Vinayaka Mission’s Kirupananda Variyar Medical College & Hospital, Vinayaka Mission's Research Foundation (deemed to be University), Salem, Tamil Nadu, India
  • Seethalakshmi Ganga Vellaisamy Department of Skin & STD, Vinayaka Mission’s Kirupananda Variyar Medical College & Hospital, Vinayaka Mission's Research Foundation (deemed to be University), Salem, Tamil Nadu, India
  • Kannan Gopalan Department of Skin & STD, Vinayaka Mission’s Kirupananda Variyar Medical College & Hospital, Vinayaka Mission's Research Foundation (deemed to be University), Salem, Tamil Nadu, India

Keywords:

Atypical, Ecthyma gangrenosum, Pemphigus vulgaris

Abstract

Pemphigus vulgaris (PV) is the most common autoimmune blistering disorder affecting the skin and mucous membranes. It is clinically characterized by the presence of flaccid vesiculobullous lesions or erosions, which usually start in the oral mucosa, followed by skin involvement. Atypical presentations of PV have been mentioned previously in the literature. Extensive bacterial overgrowth with staphylococcus aureus or Pseudomonas aeruginosa can lead to delayed wound healing and enlarging ulcers, thereby causing diagnostic problems. We describe an unusual presentation of PV masquerading as Ecthyma gangrenosum (EG) in a 55 year old male.

References

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Published

2024-10-11

Issue

Vol. 34 No. 4 (2024): October-December

Section

Case Reports

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