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The several types of pemphigus (pemphigus vulgaris, pemphigus foliaceus, intraepidermal neutrophilic IgA dermatosis, and paraneoplastic pemphigus) vary in severity. Skin lesions caused by pemphigus can lead to fatal infections, so treatment is extremely important. Pemphigus vulgaris (PV - ICD-10 L10.0) is the most common form of the disorder ...
Oral lichen planus [1] Cicatricial pemphigoid [1] or less commonly bullous pemphigoid [1] Pemphigus vulgaris [1] Linear immunoglobulin A disease [1] Dermatitis herpetiformis [1] Lupus erythematosus [1] Chronic ulcerative stomatitis [1] Chronic bacterial, fungal, and viral infections [1] Reactions to medications, mouthwashes, and chewing gum [1 ...
Pemphigus vulgaris is a rare chronic blistering skin disease and the most common form of pemphigus.Pemphigus was derived from the Greek word pemphix, meaning blister. [1] It is classified as a type II hypersensitivity reaction in which antibodies are formed against desmosomes, components of the skin that function to keep certain layers of skin bound to each other.
If no lesions are present on examination it may be useful way of demonstrating reduced epithelial adhesion. In contrast, in Pemphigus, the epithelium tends to disintegrate rather than form a bulla. Nikolsky's sign is present in pemphigus and mucous membrane pemphigoid, but not in bullous pemphigoid .
The histological picture involves thinner, weaker attachments of the skin lesion itself to the normal skin – resulting in easier dislodgement. The formation of new blisters upon slight pressure (direct Nikolsky) and shearing of the skin due to rubbing (indirect Nikolsky) is a sign of pemphigus vulgaris, albeit not a 100% reliable diagnosis. [8]
In developed countries, necrotizing gingivitis occurs mostly in young adults with predisposing factors such as psychological stress, sleep deprivation, poor oral hygiene, smoking, immunosuppression and/or malnutrition. In developing countries, necrotizing gingivitis occurs mostly in malnourished children.
Pemphigus erythematosus, however, does not produce oral ulcers, or any other mucosal lesions. [2] Pemphigus erythematosus targets desmoglein 1, which is primarily found in the skin. Desmoglein 3 is present in higher numbers in the mucosa. Pemphigus vulgaris targets desmoglein 3 and therefore produces mouth ulcers. [1]
Pemphigus vulgaris; Cytomegalovirus; Arnault Tzanck did the first cytological examinations in order to diagnose skin diseases. [3] To diagnose pemphigus, he identified acantholytic cells, and to diagnose of herpetic infections he identified multinucleated giant cells and acantholytic cells.