Pemphigus presenting as oral ulcers refractory to acyclovir therapy.
The authors present a patient with severe and persistent oral ulcerations despite acyclovir therapy. Because the patient initially had no skin lesions, the diagnosis of pemphigus was delayed. However, pemphigus commonly presents with oromucosal lesions before skin manifestations appear.
Good
G R
GR
Department of Medicine, Cooper Hospital/University Medical Center, Camden, NJ.
DiNubile
M J
MJ
D000212:Acyclovir / Q000627:therapeutic use; D000328:Adult; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010392:Pemphigus / Q000150:complications / Q000175:diagnosis*; D013281:Stomatitis, Aphthous / Q000188:drug therapy / Q000209:etiology*
D000212:Acyclovir