Abstract
CHILDHOOD pemphigus vulgaris, although rare, can be as virulent as its adult counterpart.1 The case described below revealed several previously unemphasized features, including the importance of early mucous-membrane biopsy and the efficacy of alternate-day steroids.Case ReportA 13-year-old Negro girl was well until 14 weeks before admission when she noted "sores" on her gums that gradually spread to involve the entire oral cavity and lips until progressive dysphagia and hoarseness necessitated hospitalization. Past medical history, developmental history, and review of systems were unremarkable.Examination revealed widespread superficial erosions, with a positive Nikolsky sign, on the gums, tongue, oropharyngeal surfaces, . . .
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