Abstract
Pemphigus vegetans (Pveg) is a rare (<5 %) variant of pemphigus vulgaris clinically characterized by chronic vegetating erosions. These affect primarily the intertriginous areas. Historically, two forms were described, the Hallopeau type and the Neumann type. Although clinical features may be distinctive, overlaps between these two types and with pemphigus vulgaris exist. It is therefore questionable to consider Pveg as a distinct entity but rather a clinical phenotype observed within the pemphigus vulgaris spectrum. Treatment options are essentially based on the guidelines proposed for pemphigus as well as case reports.
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Abbreviations
- CS:
-
Corticosteroids
- Dsg:
-
Desmoglein
- IF:
-
Immunofluorescence
- Pveg:
-
Pemphigus vegetans
References
Kaiser J, Kaatz M, Elsner P, Ziemer M. Complete remission of drug-resistant pemphigus vegetans treated by extracorporeal photopheresis. J Eur Acad Dermatol Venereol. 2007;21:843–4.
Lin MH, Hsu CK, Lee JY. Successful treatment of recalcitrant pemphigus vulgaris and pemphigus vegetans with etanercept and carbon dioxide laser. Arch Dermatol. 2005;141:680–2.
Motomura H, Tsuruta D, Yamanaka K, et al. The use of test skin grafting in pemphigus vegetans. J Plast Reconstr Aesthet Surg. 2009;62:e506–8.
Sawai T, Kitazawa K, Danno K, et al. Pemphigus vegetans with oesophageal involvement: successful treatment with minocycline and nicotinamide. Br J Dermatol. 1995;132:668–70.
Zaraa I, Sellami A, Bouguerra C, et al. Pemphigus vegetans: a clinical, histological, immunopathological and prognostic study. J Eur Acad Dermatol Venereol. 2011;25:1160–7.
Further Reading
Adriano AR, Gomes Neto A, Hamester GR, et al. Pemphigus vegetans induced by use of enalapril. An Bras Dermatol. 2011;86:1197–200.
Hallopeau HF. Sur une nouvelle forme de dermatite pustuleuse chronique en foyers à progression excentrique. In: Congrès International de Dermatologie et de Syphiligraphie tenu à Paris (Ie session). Masson, Paris; 1889.
Hammers CM, Lunardon L, Schmidt E, Zillikens D. Contemporary management of pemphigus. Expert Opin Orphan Drugs. 2013;1:295–314.
Hertl M, Jedlickova H, Karpati S, et al. Pemphigus. S2 guideline for diagnosis and treatment; accessible online at http://www.euroderm.org/images/stories/guidelines/Autoimmune-bullous-diseases-Pemphigus-S2.pdf. 2013.
Ichimiya M, Yamamoto K, Muto M. Successful treatment of pemphigus vegetans by addition of etretinate to systemic steroids. Clin Exp Dermatol. 1998;23:178–80.
Morizane S, Yamamoto T, Hisamatsu Y, et al. Pemphigus vegetans with IgG and IgA antidesmoglein 3 antibodies. Br J Dermatol. 2005;153:1236–7.
Neumann I. Über pemphigus vegetans (frambosioides). Arch Dermatol Syph. 1886;18:157–78.
Ngo JT, Trotter MJ, Robertson LH. Pemphigus vegetans associated with intranasal cocaine abuse. J Cutan Med Surg. 2012;16:344–9.
Saruta H, Ishii N, Teye K, et al. Two cases of pemphigus vegetans with IgG anti-desmocollin 3 antibodies. JAMA Dermatol. 2013. doi:10.1001/jamadermatol.2013.5244.
Török L, Husz S, Ocsai H, et al. Pemphigus vegetans presenting as acrodermatitis continua suppurativa. Eur J Dermatol. 2003;13:579–81.
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Hammers, C.M., Schmidt, E., Borradori, L. (2015). Pemphigus Vegetans. In: Katsambas, A.D., Lotti, T.M., Dessinioti, C., D’Erme, A.M. (eds) European Handbook of Dermatological Treatments. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45139-7_70
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DOI: https://doi.org/10.1007/978-3-662-45139-7_70
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