Case for diagnosis.

An Bras Dermatol

Service of Dermatology, Centro Hospitalar do Porto (Porto Hospital Center), EPE - Hospital de Santo Antonio (Santo Antonio Hospital) - Porto, Portugal.

Published: July 2013

We report a clinical case of a rare variant of pemphigus - pemphigus herpetiformis - which combines the clinical features of dermatitis herpetiformis with the immunological findings of pemphigus. Due to its atypical presentation, it is frequently misdiagnosed as dermatitis herpetiformis. It is basically characterized by the herpetiform pattern of skin lesions, severe pruritus and by the presence of eosinophilic spongiosis confirmed on histopathology. We call attention to the excellent response to dapsone.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3699924PMC
http://dx.doi.org/10.1590/s0365-05962012000600023DOI Listing

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