Skip Navigation Links.
Collapse <span class="m110 colortj mt20 fontw700">Volume 12 (2024)</span>Volume 12 (2024)
Collapse <span class="m110 colortj mt20 fontw700">Volume 11 (2023)</span>Volume 11 (2023)
Collapse <span class="m110 colortj mt20 fontw700">Volume 10 (2022)</span>Volume 10 (2022)
Collapse <span class="m110 colortj mt20 fontw700">Volume 9 (2021)</span>Volume 9 (2021)
Collapse <span class="m110 colortj mt20 fontw700">Volume 8 (2020)</span>Volume 8 (2020)
Collapse <span class="m110 colortj mt20 fontw700">Volume 7 (2019)</span>Volume 7 (2019)
Collapse <span class="m110 colortj mt20 fontw700">Volume 6 (2018)</span>Volume 6 (2018)
Collapse <span class="m110 colortj mt20 fontw700">Volume 5 (2017)</span>Volume 5 (2017)
Collapse <span class="m110 colortj mt20 fontw700">Volume 4 (2016)</span>Volume 4 (2016)
Collapse <span class="m110 colortj mt20 fontw700">Volume 3 (2015)</span>Volume 3 (2015)
Collapse <span class="m110 colortj mt20 fontw700">Volume 2 (2014)</span>Volume 2 (2014)
Collapse <span class="m110 colortj mt20 fontw700">Volume 1 (2013)</span>Volume 1 (2013)
American Journal of Medical Case Reports. 2024, 12(2), 24-28
DOI: 10.12691/AJMCR-12-2-4
Case Report

Oral Pemphigus Vulgaris: A Case Report and Literature Review

Abdulhameed Alsarraf1, 2, , Shaima Aldhafeeri1 and Woroud N. AL-Sulimmani3

1Oral Medicine Clinic, Ministry of Health, Jahra Medical City, Kuwait

2Oral Medicine & Pathology Clinic, Kuwait Oil Company Hospital, Al-Ahmadi, Kuwait

3Oral & Maxillofacial Surgery Department, Ministry of Health, Kuwait

Pub. Date: March 02, 2024

Cite this paper

Abdulhameed Alsarraf, Shaima Aldhafeeri and Woroud N. AL-Sulimmani. Oral Pemphigus Vulgaris: A Case Report and Literature Review. American Journal of Medical Case Reports. 2024; 12(2):24-28. doi: 10.12691/AJMCR-12-2-4

Abstract

Pemphigus vulgaris (PV) is a rare chronic autoimmune mucocutaneous blistering disease characterized by the production of autoantibodies targeting desmogleins, key components of intercellular adhesion of keratinocytes. This process leads to the loss of intercellular adhesion, culminating in the development of intraepithelial bullae and erosions. PV manifest as intraoral lesions that subsequently spread to other mucous membranes and the skin. While the exact etiology remains elusive, several triggering factors have been identified. Oral lesions of PV are often misdiagnosed and mistreated, emphasizing the need for early recognition by dental professionals. This case report aims to contribute to the existing literature by illustrating representative clinical features of PV, diagnostic approach, and therapeutic challenges associated with our case.

Keywords

pemphigus vulgaris, oral ulceration, autoantibodies, autoimmune

Copyright

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References

[1]  P.Joly, and N.Litrowsk, “Pemphigus group (vulgaris, vegetans, foliaceus, herpetiformis, brasiliensis)”, Clinics in dermatology, 29(4), 432-6, Jul-Aug 2011.
 
[2]  Research, Science and Therapy Committee, “Position paper: oral features of mucocutaneous disorders”, Journal of periodontology, 74(10), 1545-1556, October 2003.
 
[3]  E. Alpsoy, A. Akman-Karakas, S. Uzun, “Geographic variations in epidemiology of two autoimmune bullous diseases: pemphigus and bullous pemphigoid”, Archives of dermatological research, 307(4),291–298, May 2015.
 
[4]  K.Da Silva, L.Mandel, ”Early Manifestation of Pemphigus Vulgaris: A CASE REPORT”, New York State Dental Journal; Hempstea, 73(3),42-4, Apr 2007. [online]. Available:https://www.proquest.com/scholarly-journals/early-manifestation-pemphigus-vulgaris-case/docview/213337496/se-2.[Accessed Jan,28.2024]
 
[5]  P.Ahankare, D. Wankhedkar, S. Patankar, G. Sridharan, ”Pemphigus Vulgaris: Case Report and Review of Literature”, Journal of Clinical and Diagnostic Research,13(5), ZD04-ZD06, May 2019.
 
[6]  L.Zhao, Y.Chen, M. Wang, ”The Global Incidence Rate of Pemphigus Vulgaris: A Systematic Review and Meta-Analysis”, Dermatology, 239 (4),514–522, March 2023.
 
[7]  H.YH, K.CF, C.YH, Y.YW, ” Incidence, mortality, and causes of death of patients with pemphigus in Taiwan: a nationwide population-based study”, The Journal of investigative dermatology,132(1), 92-97, JANUARY 2012.
 
[8]  AJ.Kanwar, D.De , “Pemphigus in India”, Indian journal of dermatology, venereology and leprology, 77(4), 439-449, 2011. [online]. Available:10.4103/0378-6323.82396.[Accessed Jan,28.2024]
 
[9]  M. Black,MD.Mignogna, C.Scully, “Number II. Pemphigus vulgaris”,Oral diseases, 11(3), 119-130, May 2005.
 
[10]  Anhalt, G J, “Making sense of antigens and antibodies in pemphigus”, Journal of the American Academy of Dermatology, 40(5), 763-766, May 1999.
 
[11]  MG.Mahoney, Z.Wang, K.Rothenberger, PJ.Koch, M.Amagai, Stanley.JR, “Explanations for the clinical and microscopic localization of lesions in pemphigus foliaceus and vulgaris”, The Journal of clinical investigation,103(4),461-468,February 1999.
 
[12]  M.Amagai, T. Hashimoto, N. Shimizu, T. Nishikawa, “Absorption of pathogenic autoantibodies by the extracellular domain of pemphigus vulgaris antigen (Dsg3) produced by baculovirus”, The Journal of clinical investigation, 94(1), 59-67, July 1994.
 
[13]  PN.Deo, RS.Deshmukh, ”Revisiting pemphigus vulgaris: A case report and review of literature”, International Journal of Case Reports and Images,14(2), 91–96, 2023. [online]. Available:10.5348/101417Z01PD2023CR.[Accessed Jan,28.2024]
 
[14]  F.Patel, R.Wilken, FB.Patel, H.Sultani, I.Bustos, C.Duong , JJ.Zone, SP.Raychaudhuri, E. Maverakis, ”Pathophysiology of Autoimmune Bullous Diseases: Nature Versus Nurture”, Indian Journal of Dermatology, 62(3), 262-267, May-June 2017. [online]. Available:10.4103/0019-5154.159620.[Accessed Jan,28.2024]
 
[15]  D.Temilola,H.Holmes, S.Mulder-van Staden, A.Afrogheh, J. Engelbrecht, “Oral pemphigus vulgaris with skin and ocular involvement”, South African Dental Journal, 73, 83-85, March 2018. [online]. Available: http://www.scielo.org.za/scielo.php?script=sci_arttext&pid=S0011-85162018000200006&lng=en.[Accessed Jan,28.2024]
 
[16]  D.Kuriachan, R.Suresh, M.Janardhanan, V.Savithri, "Oral Lesions: The Clue to Diagnosis of Pemphigus Vulgaris", Case Reports in Dentistry, 2015, 3 pages, November 2015.
 
[17]  N.Kala, J.Manjeu, N.Dominic, SPKK. Babu, “Oral pemphigus without skin lesions treated with pulse steroid therapy”, Journal of Indian Society of Periodontology, 22(6), 551-554, Nov-Dec 2018.
 
[18]  M.Cholera, N.Chainani-Wu,” Management of Pemphigus Vulgaris”, Advances in Therapy, 33, 910–958, June 2016.
 
[19]  S.Gregoriou, O. Efthymiou, C.Stefanaki and D.Rigopoulos, ”Management of pemphigus vulgaris: challenges and solutions”, Clinical, Cosmetic and Investigational Dermatology, 8, 521-527, October 2015.
 
[20]  D.Didona, R.Maglie, R.Eming, M. Hertl, ”Pemphigus: Current and Future Therapeutic Strategies”, Front Immunol, 10, 1418, June 2019.
 
[21]  V. Pradkhshana, P.Nilesh ,S. Ishank, ”Oral mucosal pemphigus with cutaneous involvement: Rare”, International Journal of Current Research, 8(12), 42666-42667, December 2016. [online] Available:http://www.journalcra.com/volume8/number12/.[Accessed Jan,28.2024]
 
[22]  H.Ramineni, M.Yerraguntla, S. Pulimila, N. Kukkapalli, V. Suryadevara, ”Pemphigus vulgaris: a rare case report”, International Journal of Research in Medical Sciences, 3(6), 1543-1544, June 2015.
 
[23]  V.Vasudevan, VV. Bharathan , Radhika ,”Pemphigus vulgaris”, Journal of Indian Academy of Oral Medicine and Radiology, 20(3),121-123, July-September 2008. [online]. Available:10.4103/0972-1363.52781.[Accessed Jan,28.2024]
 
[24]  A.Aggarwal, S. Jain, ”Self-limiting cutaneous pemphigus preceding the oral lesions-A case report”, Acta Scientific Dental Sciences, 3(2), 59-63, February 2019. [online]. Available:https://www.scribd.com/document/437878041/Self-Limiting-Cutaneous-Pemphigus-Preceding-the-Oral-Lesions-A-Case-Report-pdf.[Accessed Jan,28.2024]
 
[25]  S.Rath, M.Reenesh, ”Gingival pemphigus vulgaris preceding cutaneous lesion: A rare case report”, Journal of Indian Society of Periodontology,16(4), 588-591, Oct-Dec 2012. [online]. Available:10.4103/0972-124X.106922.[Accessed Jan,29.2024]
 
[26]  S.Dagistan, M.Goregen, O.Miloglu, B.Çakur, ”Oral pemphigus vulgaris: a case report with review of the literature”, Journal of Oral Science, 50(3), 359-362, September 2008.
 
[27]  J.Wang, H.Wu, W.Cong, H.Zh, J.Zheng, X.Li, M.Pan, “Psychological morbidity in patients with pemphigus and its clinicodemographic risk factor: A comparative study”, The Journal of dermatology, 50(10), 1237–1245, June 2023.
 
[28]  JY.Sun ,MR. Roh, SC.Kim, “Quality of Life Assessment in Korean Patients with Pemphigus”, Annals of Dermatology, 27(5), 492-498, October 2015.
 
[29]  A.Paradisi, F.Sampogna, C.Di Pietro ,G.Cianchini, B.Didona, R. Ferri, D.Abeni, S.Tabolli, “Quality-of-life assessment in patients with pemphigus using a minimum set of evaluation tools”, Journal of the American Academy of Dermatology, 60(2), 261-269, Feb 2009.
 
[30]  A.Teimourpour, K.Hedayat, F.Salarvand, N.Ghandi, M.Ghiasi, H.Mahmoudi, K.Balighi, R.Toosi, F.Mohebi, A.Nili, M.Daneshpazhooh, DF. Murrell, C.Chams-Davatchi, “Autoimmune Bullous Disease Quality of Life (ABQoL) questionnaire: Validation of the translated Persian version in pemphigus vulgaris”, International journal of women's dermatology, 6(4), 306-310, March 2020. [online]. Available:10.1016/j.ijwd.2020.03.043.[Accessed Jan,29.2024]
 
[31]  JJ.Padniewski, RL.Shaver, B.Schultz, DR.Pearson, “Patient Quality of Life Improvement in Bullous Disease: A Review of Primary Literature and Considerations for the Clinician”, Clinical, cosmetic and investigational dermatology, 15, 27-42, Jan 2022.
 
[32]  O.Segal, G.Goldzweig, E.Tako, A.Barzilai, A.Lyakhovitsky, S.Baum, “Illness Perception, Perceived Social Support and Quality of Life in Patients with Pemphigus Vulgaris: What Should Dermatologists Know?”, Acta Dermato-Venereologica, 101(4), adv00441, Apr 2021.
 
[33]  SZ.Ghodsi, C.Chams-Davatchi, M.Daneshpazhooh, M.Valikhani, N.Esmaili, “Quality of life and psychological status of patients with pemphigus vulgaris using Dermatology Life Quality Index and General Health Questionnaires”, The Journal of dermatology, 39(2), 141-144, Feb 2012.