title: Pesticide-associated pemphigus vulgaris.
abstract: We present a 40-year-old man with occupation-induced pemphigus vulgaris (PV). He developed PV within days of a one-time heavy exposure to fumes of burning glyphosate, a broad-spectrum nonselective pesticide. This exposure suggests acute cutaneous contact as a stimulus in the development of his pemphigus. While the patient initially required mycophenolate mofetil and prednisone therapy, he has since eliminated contact with pesticides and has been successfully tapered off systemic medication. We discuss the case and review concepts of inducible PV by pesticides and physical cutaneous injury.
authors: Department of Medicine, Division of Dermatology, University of Tennessee Health Science Center, Memphis, TN 38103, USA. kfisher5@utmem.edu
authors: Kristopher R
authors: KR
authors: Fisher
authors: Raymond
authors: R
authors: Higginbotham
authors: Jamie
authors: J
authors: Frey
authors: Jacqueline
authors: J
authors: Granese
authors: Jessica
authors: J
authors: Pillow
authors: Robert B
authors: RB
authors: Skinner
mesh_terms: D000328:Adult; D005998:Glycine / Q000009:adverse effects / Q000031:analogs & derivatives*; D006540:Herbicides / Q000009:adverse effects*; D006801:Humans; D008297:Male; D010392:Pemphigus / Q000139:chemically induced* / Q000175:diagnosis / Q000628:therapy; D000097797:Glyphosate
chemical_list: D005998:Glycine; D006540:Herbicides; D000097797:Glyphosate