Fika Drakel - Academia.edu (original) (raw)
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Rajiv Gandhi University of Health Sciences
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Pemphigus Vulgaris (PV) is a serious autoimmune disorder in the form of acute or chronic blisters... more Pemphigus Vulgaris (PV) is a serious autoimmune disorder in the form of acute or chronic blisters on the mucocutaneous surface. The oral mucosa is the initial site of involvement in 50-60% of patients. Many known triggers have been associated with PV. This case report aims to describe a case of PV with an unusual clinical manifestation with multiple risk factors in elderly patient. A 78year-old woman came with a chief complaint of swelling on the lower lip for 3 months proceeded by oral ulcers on the lip vermillion. Extraoral examination showed diffuse swelling on the lower lip and a a cutaneous lesion on the right side of lower chin. Intraoral examination revealed ulcers and erosive lesion on the buccal mucosa. The medical history was rheumatoid arthritis treated with Dpenicillamine for 6 months. Working diagnosis of pemphigus vulgaris, acute pseudomembranous candidiasis, and angioedema were made. Several laboratory tests were performed. The anti-HSV-1 IgG test showed reactive. A t...
Pemphigus Vulgaris (PV) is a serious autoimmune disorder in the form of acute or chronic blisters... more Pemphigus Vulgaris (PV) is a serious autoimmune disorder in the form of acute or chronic blisters on the mucocutaneous surface. The oral mucosa is the initial site of involvement in 50-60% of patients. Many known triggers have been associated with PV. This case report aims to describe a case of PV with an unusual clinical manifestation with multiple risk factors in elderly patient. A 78year-old woman came with a chief complaint of swelling on the lower lip for 3 months proceeded by oral ulcers on the lip vermillion. Extraoral examination showed diffuse swelling on the lower lip and a a cutaneous lesion on the right side of lower chin. Intraoral examination revealed ulcers and erosive lesion on the buccal mucosa. The medical history was rheumatoid arthritis treated with Dpenicillamine for 6 months. Working diagnosis of pemphigus vulgaris, acute pseudomembranous candidiasis, and angioedema were made. Several laboratory tests were performed. The anti-HSV-1 IgG test showed reactive. A t...