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Georgian Scientists/ . 5  N 2, 2023 181

Pemphigus vulgaris: a clinical case Report
Rusudan Kuliashvili, Marina Kuparadze,2, Gigi Gorgadze2, ,  Natalia garuchava,2,  Giorgi Zhorzholiani2,

Mariam Morchiladze2

1Greek medical foundation hippocrates
2Tbilisi State Medical University

Abstract

Pemphigus vulgaris is a disease belonging to the group of rare severe autoimmune bullous dermatoses,
characterized by the formation of various painful morphological skin elements on the skin and mucous
membrane.

In this article, we discuss the case of a 32-year-old woman, who developed a rash in different parts of
her body one and a half months after her third delivery, in particular in the back area, from where it
spread to the whole body. The case is interesting both theoretically and practically. From the described
case, it is worth noting that in the anamnesis of the patient, a few days after giving birth, the
development of rashes on the skin and in the oral cavity, difficulty and discomfort while swallowing.
Though treatment was carried out by the dermatologist, the process progressed, the condition
worsened, the intensity and severity of the rash increased. The rash appeared on the skin first in the
back area, from where it spread to the whole body.

Patient applied to our clinic for diagnosis and treatment. Multiple bullae, vesicles, erosions, ulcers-
hyperemic head with serous hemorrhagic crusts in the center are detected on the background of
diffusely unchanged skin on the whole body and on the mucous membrane of the oral cavity.

She is constantly under the constant monitoring of a therapist, endocrinologist and dermatologist. No
recurrence was observed for several months. The patient is on a maintenance dose of Metipred 8 mg.

It is difficult to talk about long-term results, the disease progressed in a difficult way, currently
remission has been achieved. There is no place for additional complications.

Keywords:  Erosion, Ulcer, Dysphagia, Hyperemic head, Acantholytic cells.