Publication:
Delayed Diagnosis of Pemphigus Vulgaris Initially Presenting as an Oral Ulcer: A Case Report

creativeworkseries.issnJNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X
dc.contributor.authorLamichhane, Ramesh
dc.contributor.authorChaudhary, Saroj
dc.date.accessioned2025-12-12T08:51:40Z
dc.date.available2025-12-12T08:51:40Z
dc.date.issued2022
dc.descriptionRamesh Lamichhane Department of Internal Medicine, Jalalabad Ragib Rabeya Medical College, Pathantula, Sylhet, Bangladesh Saroj Chaudhary Department of Cardiology, Nepal Cardio Diabetes and Thyroid Center, Budhanilkantha, Kathmandu, Nepal
dc.description.abstractAbstract Pemphigus vulgaris is a rare autoimmune mucocutaneous blistering disease clinically presenting as vesicles, bullae, and erosion and histologically characterized by suprabasal split and acantholysis. It usually affects mucous membranes and skin. Recurrent oral ulcers can only be the clinical manifestation before progressing into skin lesions. This can lead to the delayed diagnosis of this disease. Here we report a case of pemphigus vulgaris which was diagnosed after years of suffering from an oral ulcer that eventually progressed to widespread skin blistering and ulceration. The patient was treated with oral prednisolone which showed improvement within a week. Physicians should consider the differential diagnosis of pemphigus vulgaris in patients presenting with a recurrent oral ulcer.
dc.identifierhttps://doi.org/10.31729/jnma.7594
dc.identifier.urihttps://hdl.handle.net/20.500.14572/3596
dc.language.isoen_US
dc.publisherNepal Medical Association
dc.subjectDelayed diagnosis
dc.subjectOral ulcer
dc.subjectPemphigus vulgaris
dc.titleDelayed Diagnosis of Pemphigus Vulgaris Initially Presenting as an Oral Ulcer: A Case Report
dc.typeOther
dspace.entity.typePublication
local.article.typeCase Report
oaire.citation.endPage643
oaire.citation.startPage641
relation.isJournalIssueOfPublication97a430e0-8e75-4ea0-8404-4f83f1f86a10
relation.isJournalIssueOfPublication.latestForDiscovery97a430e0-8e75-4ea0-8404-4f83f1f86a10
relation.isJournalOfPublicatione6e146a0-0ece-4aba-aa0a-6ccfbd10a12a

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