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July 1979

Benign Mucous Membrane Pemphigoid

Author Affiliations

Buffalo, NY

Arch Dermatol. 1979;115(7):815-816. doi:10.1001/archderm.1979.04010070001002

To the Editor.—  We recently examined a 68-year-old woman with a 13-year history of conjunctival and oral lesions that are characteristic, clinically and histologically, of benign mucous membrane pemphigoid. She also had unusual hyperkeratotic plaques on the distal extremities.

Report of a Case.—  A 68-year-old woman was initially seen in October 1977 with a 13-year history of a sore mouth and eye irritation and a five-year history of persistent thickened plaques on her wrists and lower part of her legs. She gave a ten-year history of swelling of the proximal and distal phalanges of the fingers, with fingernails that were discolored and opaque.On examination the following findings were apparent: eyelid hair loss; symblepharon formation (Fig 1); patchy denuded areas of the palatine mucosa; small, ill-defined atrophic areas on the vaginal labia and the external auditory canal; well-demarcated, almost symmetrical, furrowed, crusted, firm, tannish-brown plaques on the distal extremities, measuring

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