Pemphigus vulgaris presenting with epigastric pain

Author:

Elmassry Marawan1ORCID,Thongpiya Jerapas1,Yingchoncharoen Pitchaporn1,Garza Jali1,Soape Matthew2,Das Kanak1

Affiliation:

1. Department of Internal Medicine Texas Tech University Health Sciences Center Lubbock Texas USA

2. Department of Gastroenterology Covenant Medical Center Lubbock Texas USA

Abstract

Key Clinical MessagePemphigus 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.

Publisher

Wiley

Subject

General Medicine

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