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Pemphigus vulgaris - Overview

Definition of Pemphigus vulgaris:

Pemphigus vulgaris is an autoimmune disorder that involves blistering and sores (erosions) of the skin and mucus membranes.

Causes, incidence, and risk factors:

Pemphigus is an autoimmune disorder. The immune system produces antibodies against specific proteins in the skin and mucus membranes. These antibodies break the bonds between skin cells. This leads to the formation of a blister. The exact cause is unknown.

Sometimes pemphigus is caused by certain medications, although this is rare. Medications that may cause this condition include:

  • A drug called penicillamine, which removes certain materials from the blood (chelating agent)
  • Blood pressure medications called ACE inhibitors

Pemphigus is uncommon. It almost always occurs in middle-aged or older people.

  • Reviewed last on: 9/11/2010
  • Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; and Roy Colven, MD, Dermatologist, Associate Professor of Medicine, University of Washington Medical School, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Habif TP. Vesicular and bullous diseases. In: Habif TP, ed. Clinical Dermatology. 5th ed. Philadelphia, Pa: Mosby Elsevier;2009:chap 16.

Baroni A, Lanza A, Cirillo N, Brunetti G, Ruocco E, Ruocco V. Vesicular and bullous disorders: pemphigus. Dermatol Clin. 2007;25(4):597-603.

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