Pemphigus vulgaris presenting with epigastric pain.
Publication Title
Clin Case Rep
Document Type
Article
Publication Date
5-1-2023
Keywords
texas; covenant; autoimmune mucocutaneous disease; epigastric pain; esophageal ulcer; pemphigus vulgaris
Abstract
Pemphigus vulgaris is an autoimmune mucocutaneous disease with an involvement in gastrointestinal tract especially in oral cavity and esophagus. Ulcers can be the initial presentation even before visible mucosal or cutaneous lesions. The presenting symptoms will be in accordance with the affected organ such as throat pain, hoarseness, dysphagia, odynophagia, or even bleeding. Here, we report a case of undiagnosed pemphigus vulgaris presenting with epigastric pain whose endoscopy showed oropharyngeal involvement and isolate esophageal ulcer, which failed proton pump inhibitor treatment.
Clinical Institute
Digestive Health
Specialty/Research Institute
Gastroenterology
DOI
10.1002/ccr3.7299