Paraneoplastic Pemphigus: Clinical Case Report and Oral Care Management

Introduction: Paraneoplastic pemphigus is a rare, autoimmune, vesiculobullous disease that affects patients with neoplasia, usually lymphoma or chronic lymphocytic leukemia. It is a very serious condition and related to high rates of morbidity and mortality. Case report: A patient with a previous diagnosis of chronic lymphocytic leukemia, in disease progression, reported the appearance of ulcers in the oral cavity, multiple bleeding skin lesions, severe pain and persistent fever for 15 days, which started after the use of antibiotics. The clinical examination showed involvement of the ocular, oral and urogenital mucosae, body, scalp, back and palms, with crusty, bleeding and coalescent lesions. The dentistry team worked throughout the hospitalization period and oral care. Conclusion: The diagnosis and care of paraneoplastic pemphigus patients is multidisciplinary. The dentist has a fundamental role in the team, aiming at the patient integral care, providing comfort and a better quality of life.