Pemphigus vegetans occurring in a split-thickness skin graft.
BACKGROUND
Pemphigus vegetans, a variant of pemphigus vulgaris, most commonly occurs in the flexural area.


OBJECTIVE
To describe an unusual case of pemphigus vegetans occurring in a skin graft recipient site and to discuss the possible etiology.


METHODS
We present a 41-year-old man who developed vegetating plaques from the graft recipient site of his left leg for 8 months.


RESULTS
Based on the histopathologic findings of a skin biopsy, this case was diagnosed as pemphigus vegetans. The patient's condition was successfully treated with systemic corticosteroids and acitretin.


CONCLUSIONS
Our case is unique in its presentation of pemphigus vegetans shortly after a split-thickness skin graft. Physicians should be aware of this entity while differentiating cutaneous lesions arising from a skin graft.
Huang
Yu-Huei
YH
Department of Dermatology, Chang Gung Memorial Hospital, Chiayi, Taiwan.
Wang
Shu-Hui
SH
Kuo
Tseng-Tong
TT
Chi
Ching-Chi
CC
D017255:Acitretin / Q000008:administration & dosage; D000284:Administration, Oral; D000328:Adult; D002921:Cicatrix / Q000473:pathology; D003937:Diagnosis, Differential; D006801:Humans; D007641:Keratolytic Agents / Q000008:administration & dosage; D007866:Leg; D008297:Male; D008775:Methylprednisolone / Q000008:administration & dosage; D010392:Pemphigus / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D011183:Postoperative Complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D016038:Skin Transplantation
D007641:Keratolytic Agents; D017255:Acitretin; D008775:Methylprednisolone