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    Fig. 29.6 Pemphigus Vulgaris - Cutaneous Involvement. A Flaccid Blisters and An Erosion B, C Multiple Erosions and

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    Cristian Quito
    This document discusses different types of vesiculobullous diseases, specifically focusing on different forms of pemphigus. It describes pemphigus vulgaris as causing flaccid blisters and erosions, particularly on the back, that can become extensive and infected. It also notes a rare, chronic form with vegetative lesions. Pemphigus foliaceus is described as causing scaly, crusted erosions often on an erythematous base that favor the face, scalp and upper trunk, but rarely involve the mucosa. Pemphigus erythematosus is a localized variant of pemphigus foliaceus.

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    Fig. 29.6 Pemphigus Vulgaris - Cutaneous Involvement. A Flaccid Blisters and An Erosion B, C Multiple Erosions and

    Uploaded by

    Cristian Quito
    33 views1 page
    This document discusses different types of vesiculobullous diseases, specifically focusing on different forms of pemphigus. It describes pemphigus vulgaris as causing flaccid blisters and erosions, particularly on the back, that can become extensive and infected. It also notes a rare, chronic form with vegetative lesions. Pemphigus foliaceus is described as causing scaly, crusted erosions often on an erythematous base that favor the face, scalp and upper trunk, but rarely involve the mucosa. Pemphigus erythematosus is a localized variant of pemphigus foliaceus.

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    This document discusses different types of vesiculobullous diseases, specifically focusing on different forms of pemphigus. It describes pemphigus vulgaris as causing flaccid blisters and erosions, particularly on the back, that can become extensive and infected. It also notes a rare, chronic form with vegetative lesions. Pemphigus foliaceus is described as causing scaly, crusted erosions often on an erythematous base that favor the face, scalp and upper trunk, but rarely involve the mucosa. Pemphigus erythematosus is a localized variant of pemphigus foliaceus.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    33 views1 page

    Fig. 29.6 Pemphigus Vulgaris - Cutaneous Involvement. A Flaccid Blisters and An Erosion B, C Multiple Erosions and

    Uploaded by

    Cristian Quito
    This document discusses different types of vesiculobullous diseases, specifically focusing on different forms of pemphigus. It describes pemphigus vulgaris as causing flaccid blisters and erosions, particularly on the back, that can become extensive and infected. It also notes a rare, chronic form with vegetative lesions. Pemphigus foliaceus is described as causing scaly, crusted erosions often on an erythematous base that favor the face, scalp and upper trunk, but rarely involve the mucosa. Pemphigus erythematosus is a localized variant of pemphigus foliaceus.

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    of 1

    SECTION

    5
    Fig. 29.6 Pemphigus vulgaris
     

    – cutaneous involvement.
    A Flaccid blisters and an erosion
    Vesiculobullous Diseases

    due to rupture of a bulla.  


    B,C Multiple erosions and
    hemorrhagic crusts of the back
    that can become extensive.
    Secondary bacterial infections  
    are a potential complication.  
    D A vegetative response can
    occasionally be seen in chronic
    recalcitrant lesions; the patient  
    has a Cushingoid appearance  
    due to use of chronic systemic
    corticosteroids. E The
    C dyshidrosiform variant is
    uncommon. A,D, Courtesy, Luis Requena,
    MD; B,C, Courtesy, Lorenzo Cerroni, MD; E,
    Courtesy, Louis A Fragola, Jr, MD.
    A

    B E

    Fig. 29.7 Pemphigus


     
    to therapy and remain for long periods of time in one location (see Fig.
    vegetans. Large,
    29.6D).
    thick, vegetating,
    papillomatous plaques
    arising in conjunction
    Pemphigus Foliaceus
    with erosions. Healed Patients with pemphigus foliaceus develop scaly, crusted cutaneous
    lesions have residual erosions, often on an erythematous base, but they do not have clinically
    postinflammatory apparent mucosal involvement even with widespread disease.
    hyperpigmentation. The onset of disease is often subtle, with a few scattered crusted
    lesions that are transient and are frequently mistaken for impetigo.
    They are usually well demarcated and have a seborrheic distribution,
    i.e. they favor the face, scalp and upper trunk (Fig. 29.8A,B). Because
    the vesicle is so superficial and fragile, often only the resultant crust
    and scale are seen (Fig. 29.8C,D). The disease may stay localized for
    years or it may rapidly progress, in some cases to generalized involve-
    ment and an exfoliative erythroderma (see Ch. 10). The Nikolsky sign
    is present. In contrast to the extensive oral lesions in pemphigus vul-
    garis, it is extremely rare, if ever, for patients with pemphigus foliaceus
    to develop mucosal involvement. Generally, patients with pemphigus
    foliaceus are not severely ill. However, they can experience burning and
    pain in association with the skin lesions.

    Pemphigus Erythematosus (Senear


    –Usher Syndrome)
    500 Pemphigus erythematosus is simply a localized variant of pemphigus
    foliaceus. Typical scaly and crusted lesions of pemphigus foliaceus

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