title: Twins with neonatal pemphigus vulgaris born to a mother with pemphigus vulgaris: a case report.
abstract: Dichorionic diamniotic twins were born at 37 weeks of gestation by cesarean section to a 34-year-old primigravid Japanese woman because the first twin was in breech presentation. The mother had been diagnosed with pemphigus vulgaris prior to her pregnancy. In addition to a high antidesmoglein 3 autoantibody titer, flaccid bullae and erosions on both of the twins' lips and in their oral cavities at 13 days of age led to the diagnosis of neonatal pemphigus vulgaris. This case highlights the need for awareness that pemphigus vulgaris may not occur immediately after birth.
authors.affiliation: Department of Obstetrics and Gynecology, Niigata University Medical and Dental Hospital, Niigata City, Japan.
authors.forename: Mina
authors.initials: M
authors.lastname: Itsukaichi
authors.forename: Koichi
authors.initials: K
authors.lastname: Takakuwa
authors.forename: Masayuki
authors.initials: M
authors.lastname: Yamaguchi
authors.forename: Takehiro
authors.initials: T
authors.lastname: Serikawa
authors.forename: Kenichi
authors.initials: K
authors.lastname: Tanaka
authors.forename: Kinuko
authors.initials: K
authors.lastname: Kojima
authors.forename: Seiichi
authors.initials: S
authors.lastname: Sakakibara
authors.forename: Tohei
authors.initials: T
authors.lastname: Usuda
authors.forename: Masamichi
authors.initials: M
authors.lastname: Matsunaga
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Hashimoto
mesh_terms: D000328:Adult; D001323:Autoantibodies / Q000276:immunology; D051184:Desmoglein 3 / Q000276:immunology; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000276:immunology*; D008297:Male; D008431:Maternal-Fetal Exchange; D010392:Pemphigus / Q000151:congenital* / Q000276:immunology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000276:immunology*; D011297:Prenatal Exposure Delayed Effects / Q000276:immunology*; D014427:Twins
chemical_list: D001323:Autoantibodies; C071894:DSG3 protein, human; D051184:Desmoglein 3