title: Pemphigus vegetans occurring in a split-thickness skin graft.
abstract: 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.
authors.affiliation: Department of Dermatology, Chang Gung Memorial Hospital, Chiayi, Taiwan.
authors.forename: Yu-Huei
authors.initials: YH
authors.lastname: Huang
authors.forename: Shu-Hui
authors.initials: SH
authors.lastname: Wang
authors.forename: Tseng-Tong
authors.initials: TT
authors.lastname: Kuo
authors.forename: Ching-Chi
authors.initials: CC
authors.lastname: Chi
mesh_terms: 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
chemical_list: D007641:Keratolytic Agents; D017255:Acitretin; D008775:Methylprednisolone