Indiana University

Pemphigis Vulgaris
  • Flaccid blisters that rupture easily, leaving a crusted lesion
  • Blisters dissect laterally when pressed (Nickolsky sign)
  • Common sites of involvement include the scalp, intertriginous areas and mouth
  • Disease occurs in middle and old age
  • An autoimmune disease characterized by circulating antibodies directed against the intercellular cement substance in the epidermis
  • Histology: Acantholysis (dyshesion of individual keratinocytes), results in an intraepidermal blister; variable dermal infiltrate often with eosinophils

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