Pemphigus vulgaris presenting with epigastric pain

Key Clinical Message 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...

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Main Authors: Marawan Elmassry, Jerapas Thongpiya, Pitchaporn Yingchoncharoen, Jali Garza, Matthew Soape, Kanak Das
Format: Article
Language:English
Published: Wiley 2023-05-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.7299
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author Marawan Elmassry
Jerapas Thongpiya
Pitchaporn Yingchoncharoen
Jali Garza
Matthew Soape
Kanak Das
author_facet Marawan Elmassry
Jerapas Thongpiya
Pitchaporn Yingchoncharoen
Jali Garza
Matthew Soape
Kanak Das
author_sort Marawan Elmassry
collection DOAJ
description Key Clinical Message 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.
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spelling doaj.art-e05a876e2f5e4f75b6b3d0ce44dc3a1c2023-05-25T05:58:39ZengWileyClinical Case Reports2050-09042023-05-01115n/an/a10.1002/ccr3.7299Pemphigus vulgaris presenting with epigastric painMarawan Elmassry0Jerapas Thongpiya1Pitchaporn Yingchoncharoen2Jali Garza3Matthew Soape4Kanak Das5Department of Internal Medicine Texas Tech University Health Sciences Center Lubbock Texas USADepartment of Internal Medicine Texas Tech University Health Sciences Center Lubbock Texas USADepartment of Internal Medicine Texas Tech University Health Sciences Center Lubbock Texas USADepartment of Internal Medicine Texas Tech University Health Sciences Center Lubbock Texas USADepartment of Gastroenterology Covenant Medical Center Lubbock Texas USADepartment of Internal Medicine Texas Tech University Health Sciences Center Lubbock Texas USAKey Clinical Message 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.https://doi.org/10.1002/ccr3.7299autoimmune mucocutaneous diseaseepigastric painesophageal ulcerpemphigus vulgaris
spellingShingle Marawan Elmassry
Jerapas Thongpiya
Pitchaporn Yingchoncharoen
Jali Garza
Matthew Soape
Kanak Das
Pemphigus vulgaris presenting with epigastric pain
Clinical Case Reports
autoimmune mucocutaneous disease
epigastric pain
esophageal ulcer
pemphigus vulgaris
title Pemphigus vulgaris presenting with epigastric pain
title_full Pemphigus vulgaris presenting with epigastric pain
title_fullStr Pemphigus vulgaris presenting with epigastric pain
title_full_unstemmed Pemphigus vulgaris presenting with epigastric pain
title_short Pemphigus vulgaris presenting with epigastric pain
title_sort pemphigus vulgaris presenting with epigastric pain
topic autoimmune mucocutaneous disease
epigastric pain
esophageal ulcer
pemphigus vulgaris
url https://doi.org/10.1002/ccr3.7299
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