Pemphigus vulgaris: the importance of stomatology findings in early diagnosis

Abstract

This paper aims to report a clinical case of pemphigus vulgaris, with oral and cutaneous manifestations, addressing the clinical and histopathological characteristics of this disease. The patient was a 41-year-old woman who attended the Reference Center for Oral Lesions at the Universidade Estadual de Feira de Santana, Brazil, reporting mouth and skin ulcers for eight months. Incisional biopsies of the oral lesions were performed, and the final diagnosis was pemphigus vulgaris. Treatment consisted of the use of corticosteroids. Currently, the patient uses an immunosuppressant, the lesions are still healed and there are no signs of recurrence. Oral lesions commonly precede cutaneous manifestations. It is concluded that the dentist plays an important role in the early diagnosis of pemphigus vulgaris and contributes to a better prognosis and more effective treatment.