To the Editor.—
We report a case of pemphigus vulgaris arising in areas of surgical manipulation 3 months to 1 year after an operation. The disease presented only in areas of previous rhinoplasty and hair transplantation. Later, two small patches of pemphigus were noted on the chest. No case of pemphigus appearing in areas of surgical manipulation has been previously reported.
Report of a Case.—
A 27-year-old man presented with a 6-week history of scaly, crusting patches in the area of previous surgical procedures on the scalp and nose. Approximately 1 year before presentation, he had undergone a nasal septal reconstruction.The patient had also undergone two sessions of hair transplantation, one at 19 months and the second at 4 months before presentation. Transplantation was done by a standard method, in which 4-mm donor punch grafts from the posterior occipital scalp were placed at recipient sites on the crown.Approximately
Darius R. Mehregan, Randall K. Roenigk, Lawrence E. Gibson. Postsurgical Pemphigus. Arch Dermatol. 1992;128(3):414–415. doi:10.1001/archderm.1992.01680130136029