Make the Diagnosis

Make the Diagnosis - January 2017

Natasha Cowan, University of California, San Diego, and Brooke Resh Sateesh, MD, San Diego Family Dermatology

A 50 year old Hispanic male presented with a two day history of blisters on his lips, extremities, and upper body. He complained of soreness on his lips. Bullae were flaccid and some had crusting.

What's your diagnosis?​

Pemphigus vulgaris

Bullous pemphigoid​

Pemphigus foliaceus

IgA pemphigus

The patient’s biopsy came back consistent with pemphigus vulgaris. He was started on topical steroid gel for the mucosal lesions, topical steroid cream for the cutaneous lesions, and oral prednisone.

This case and photo were submitted by Natasha Cowan, University of California, San Diego, and Brooke Resh Sateesh, MD, San Diego Family Dermatology.

Donna Bilu Martin, MD, is a board-certified dermatologist in private practice at Premier Dermatology, MD, in Aventura, Fla. More diagnostic cases are available at edermatologynews.com. To submit a case for possible publication, send an email to dermnews@frontlinemedcom.com.

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