Extensive keloid scarring in a patient with pemphigus vulgaris

Abstract

Since pemphigus blisters are intraepidermal, scarring should induce at most a post-inflammatory hyperpigmentation. We describe a very atypical and unusual course of pemphigus vulgaris with extensive keloid formation despite high systemic steroids. This could be promoted by the severe flare of the disease, the delay of scarring, and the superinfection.

Delayed diagnosis of pemphigus vulgaris in rural Nepal due to healthcare inaccessibility and harmful traditional practices: A case report

“…9 Patients are susceptible to extensive keloid scarring after a severe flare of the PV and superinfection. 10 Full-blown PV may be prevented by early intervention at the point of oral eruptions or skin lesions. 1,4 A 36-year-old male attended the emergency department (ED) of a tertiary care hospital with a chief complaint of multiple fluid-filled blisters all over his body, which easily ruptured and ulcerated, and that have been persistent for more than a month.…”

“…In one rare case, a female patient presented with ulcerated plaques on her foot that did not seem to heal 9 . Patients are susceptible to extensive keloid scarring after a severe flare of the PV and superinfection 10 . Full‐blown PV may be prevented by early intervention at the point of oral eruptions or skin lesions 1,4 …”