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Article
February 1985

Pemphigus Vegetans Limited to the Lips and Oral Mucosa

Author Affiliations

From the Department of Dermatology, University of Michigan Medical Center, Ann Arbor (Drs Woo and Fairley), and the Department of Dermatology, University of Texas Medical Branch, Galveston (Dr Solomon).

Arch Dermatol. 1985;121(2):271-272. doi:10.1001/archderm.1985.01660020129035
Abstract

Pemphigus comprises a distinct group of vesiculobullous disorders. Clinically, pemphigus can be divided into four subgroups: pemphigus vulgaris, pemphigus vegetans, pemphigus foliaceus, and pemphigus erythematosus. Pemphigus vegetans was first described in 1876 in a case of localized bullae that evolved into a verrucous plaque.1 This was followed by a similar widespread cutaneous and oral eruption. We describe a patient with pemphigus vegetans with verrucous masses limited to the oral cavity that was followed by a rapid spread to the lips.

Report of a Case  A 33-year-old man was referred to the University of Michigan Dermatology Clinic, Ann Arbor, because of a one-year history of lesions on his buccal mucosa and hard and soft palate. There was no history of pustules or bullae. The verrucous masses gradually spread to involve most of his buccal mucosa and palate. The only symptom was burning and itching. The patient denied use of any

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