Pemphigus vulgaris with vegetating feature confined to the scalp

Recalcitrant vegetative and nodular scalp lesions on the vertex in pemphigus patients: an immunocompromised district?

“… 1 , 2 However, vegetative scalp lesion has previously been reported in only three PV patients, to the best of our knowledge. 3 , 4 , 5 All of the previously reported patients with vegetative scalp plaques presented as a localized form of PV, unlike the present study’s patients. 3 , 4 , 5 The vegetative scalp lesions of PV patients occurred during treatment of recalcitrant disease course and particularly influenced by frequent disease activations.…”

“… 3 , 4 , 5 All of the previously reported patients with vegetative scalp plaques presented as a localized form of PV, unlike the present study’s patients. 3 , 4 , 5 The vegetative scalp lesions of PV patients occurred during treatment of recalcitrant disease course and particularly influenced by frequent disease activations. Additionally, to the best of our knowledge, a disease activation limited to a nodular, alopecic scalp lesion, as seen in the PF patient, has never been reported before.…”

“…Although scalp involvement is common in patients with pemphigus vulgaris (PV) and pemphigus foliaceus (PF), vegetative scalp lesions have rarely been reported in PV patients. 1 , 2 , 3 , 4 , 5 Here we present two patients with mucocutaneous PV and one patient with PF who developed recalcitrant vegetative lesions and nodular lesions on the scalp during their disease course.…”