PMC9723641_01
Pemphigus vulgaris. A, Oral mucosal erosions involving a large portion of the tongue. B, Large, pink alopecic plaque with scattered tufts of hair, crusts, and erosions on the scalp.
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fig1
A 62-year-old man presented with eroded and crusted alopecic plaques on the scalp and hemorrhagic crusting of the lower vermilion lip and oral mucosa associated with extreme pain (Fig 1).
Pemphigus foliaceus. Thin plaques with cornflake scales and superficial erosions on the scalp.
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fig2
One year following remission, the patient presented with thin scaly plaques and superficial erosions limited to the scalp; at this time, there was no mucosal involvement (Fig 2).
PMC9723641_02
A, Pemphigus vulgaris. Deep erosions and crust involving the back. B, Pemphigus foliaceus. Superficial erosions with crust involving the back.
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fig3
Five years later, the patient presented with persistent, refractory hyperkeratotic plaques with areas of superficial erosion on the scalp, back, and legs but without mucosal involvement (Fig 3, B).
PMC9723641_03
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