Unusual case of pemphigus vulgaris mimicking localized pustular psoriasis of the hands and feet.
We report a case of a 70-year-old man with a history of chronic plaque psoriasis presenting with new-onset vesiculopustules of the hands and feet. Hematoxylin and eosin stain as well as direct and indirect immunofluorescence were all consistent with a diagnosis of pemphigus vulgaris. Unusual presentations of pemphigus vulgaris have been reported in the literature. Our case easily could have been clinically misdiagnosed as pustular psoriasis.
Largo Medical Center, Florida, USA. gurgen@nova.edu
Johnny
J
Gurgen
David
D
Dorton
D000368:Aged; D004801:Eosine Yellowish-(YS); D019084:Fluorescent Antibody Technique, Indirect; D005528:Foot / Q000473:pathology; D006225:Hand / Q000473:pathology; D006416:Hematoxylin; D006801:Humans; D008297:Male; D010392:Pemphigus / Q000175:diagnosis* / Q000473:pathology; D011565:Psoriasis / Q000175:diagnosis* / Q000473:pathology; D013194:Staining and Labeling
D004801:Eosine Yellowish-(YS); D006416:Hematoxylin