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February 1992

Pemphigus and Pemphigoid

Author Affiliations

Sacramento, Calif

Arch Ophthalmol. 1992;110(2):171. doi:10.1001/archopht.1992.01080140021011

To the Editor.  —Your "Question and Answer" section is an attempt to respond to individual practitioners' questions. Individual consultants are asked to respond. In the June 1991 issue of the Archives,1 there was a question with a misleading, and perhaps erroneous, answer. The question was, "In older patients with pemphigus that is apparently inactive, is surgery for treatment of entropion or cataract safe?" The answer probably confuses pemphigus and pemphigoid. While the answer would perhaps be correct for pemphigoid (although even for pemphigoid this answer would be highly controversial and could be criticized), it is not correct for pemphigus. The question did not distinguish between the forms of pemphigus, which include pemphigus vulgaris, pemphigus vegetans, pemphigus foliaceus, and pemphigus erythematosus. Depending on classification, some of these are classified as subtypes of vulgaris and foliaceus. Ocular involvement with any of the forms of pemphigus is uncommon to rare. While entropion

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