0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Pathological Case of the Month

Jeffrey M. Scricca, MD; Joseph C. Alper, MD
Arch Pediatr Adolesc Med. 1997;151(6):627-628. doi:10.1001/archpedi.1997.02170430093020.
Text Size: A A A
Published online

AT AGE 10 years, a girl was referred to our dermatology service with a 4-month history of painful, nonhealing, oral erosions; hoarseness; and weight loss. She was unresponsive to treatment. Blisters subsequently developed on her trunk, neck, and face. To this point, her working diagnosis had been aphthous stomatitis and bullous impetigo, for which she had been treated with topical anesthetic and oral antibiotics.

On physical examination, the gingiva revealed beefy, red, superficial erosions (Figure 1). The labia majora had one 0.5-cm superficial erosion. The trunk, neck (Figure 2), and face had a few scattered, flaccid, clear fluid—filled bullae with a slightly erythematous base. A punch biopsy specimen was obtained from the midback (Figure 3).

Diagnosis and Discussion

Pemphigus Vulgaris

While pemphigus vulgaris is the most common form of pemphigus in adults, it is rare in children. A review of the literature reveals only 42 cases since its first description

Topics

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

First Page Preview

View Large
First page PDF preview

First Page Preview

View Large
First page PDF preview

Figures

Tables

References

Correspondence

CME
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign in

Create a free personal account to sign up for alerts, share articles, and more.

Purchase Options

• Buy this article
• Subscribe to the journal

Related Content

Customize your page view by dragging & repositioning the boxes below.

Jobs
brightcove.createExperiences();