title: Benign familial pemphigus (Hailey-Hailey disease).
abstract: A 56-year-old man presented with a 15-year history of scaly red plaques on the trunk and axillae. Skin biopsy was consistent with Hailey-Hailey disease. His condition was refractory to multiple therapies, which included topical and oral antibiotics and topical, intralesional, and oral glucocorticoids. Treatment with subcutaneous botulinum toxin type A at the axillae and on the back led to a nearly complete resolution of plaques in those areas. Botulinum toxin type A should be considered in patients with extensive Hailey-Hailey disease who are fail traditional therapies.
authors.affiliation: New York University School of Medicine.
authors.forename: Forrest
authors.initials: F
authors.lastname: White
authors.forename: Marianna
authors.initials: M
authors.lastname: Shvartsbeyn
authors.forename: Shane A
authors.initials: SA
authors.lastname: Meehan
authors.forename: Richard W
authors.initials: RW
authors.lastname: Urbanek
mesh_terms: D001365:Axilla; D001415:Back; D001706:Biopsy; D006801:Humans; D008297:Male; D008875:Middle Aged; D016506:Pemphigus, Benign Familial / Q000473:pathology*; D012867:Skin / Q000473:pathology*