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July 1978

Benign Mucous Membrane Pemphigoid in an 18-Year-Old Woman

Author Affiliations


Arch Dermatol. 1978;114(7):1093-1094. doi:10.1001/archderm.1978.01640190071031

To the Editor.—  Benign mucous membrane pemphigoid (BMMP) is a chronic vesiculobullous disease that mostly affects elderly people.1 We describe a patient with BMMP who is, to our knowledge, the youngest patient to suffer from this entity.

Report of a Case.—  On admission, an 18-year-old woman had a two-month history of tenderness and soreness of the gingiva of varying intensity. There were no symptoms from other mucosal membranes. The patient was in good health and was taking no medication.The facial gingiva was locally marked by moderate erythema, edema, and superficial erosions and a few vesicles were seen (Fig 1, top). Exacerbations, including bulla formation (Fig 2, left) alternated with almost symptom-free periods. Slight scarring of the mucosa appeared in some of the earlier affected areas (Fig 2, right). A dermatological examination disclosed a nickel allergy, but no cutaneous or ocular manifestations of BMMP were observed. An extensive serological

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