Erosions on a prolapsed uterine in an old woman: an unusual manifestation of pemphigus vulgaris.
Dermatol Online J
; 15(9): 9, 2009 Sep 15.
Article
em En
| MEDLINE
| ID: mdl-19930996
ABSTRACT
Vaginal involvement in pemphigus vulgaris has previously been described. In all those cases a pelvic examination was needed to explore the lesions. We describe a patient with pemphigus vulgaris who had pemphigus erosions on a prolapsed uterus (i.e., on the everted surface of vagina). The patient had widespread lesions of pemphigus in other mucosal and cutaneous sites. Biopsy, antibodies against desmoglein 1 and 3, and direct and indirect immunofluorescence were confirming. The erosions on the prolapsed uterus were resistant to treatment; other mucosal and cutaneous lesions responded rapidly to prednisolone and azathioprine. After lowering the dose of prednisolone the patient was referred to a gynecologist for a vaginal hysterectomy. This case was unique because her vaginal lesions could be easily examined and followed.
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Base de dados:
MEDLINE
Assunto principal:
Pênfigo
/
Prolapso Uterino
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Female
/
Humans
Idioma:
En
Ano de publicação:
2009
Tipo de documento:
Article