Pemphigus Herpetiformis in Childhood: Clinical Case

Author:

Murashkin Nikolay N.1ORCID,Materikin Alexander I.2ORCID,Epishev Roman V.2ORCID,Leonova Maria A.2ORCID,Opryatin Leonid A.2ORCID,Fedorov Dmitri V.2ORCID,Ivanov Roman A.2ORCID,Savelova Alena A.2ORCID,Katunina Oksana R.2ORCID,Kulikov Kirill A.2ORCID,Yarullin Ilgiz I.3ORCID

Affiliation:

1. National Medical Research Center of Children’s Health; Sechenov First Moscow State Medical University; Central State Medical Academy of Department of Presidential Affairs

2. National Medical Research Center of Children’s Health

3. Central State Medical Academy of Department of Presidential Affairs

Abstract

Background. Pemphigus herpetiformis is a rare atypical bullous dermatosis of autoimmune nature. It is characterized by rashes in the form of plaques with papules and vesicles at peripheral areas, or in the form of grouped papules, vesicles or tense bubbles with clinical similarity to During's herpetiformis dermatitis. Pemphigus herpetiformis diagnosis in pediatric practice is difficult due to the similarity of clinical manifestations to bullous dermatoses of other etiology, the rarity of the disease in children, and small number of scientific publications.Clinical case description. Clinical case of pemphigus herpetiformis in a child is described. All necessary diagnostic algorithms for diagnosis and therapeutic tactics for patient management are presented. Dapsone and prednisolone were used as first-line drugs during the patient's treatment. They have shown its efficacy in management of such patients.Conclusion. Differential diagnosis of pemphigus herpetiformis and other bullous dermatoses in children is presented. The results of successful drug treatment are shown.

Publisher

Paediatrician Publishers LLC

Subject

Pediatrics, Perinatology and Child Health

Reference18 articles.

1. Puzyrchatka: Clinical recommendations. Russian Society of Dermatovenerologists and Cosmetologists. 2019. (In Russ).

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3. Costa Lorena MC, Cappel MA, Keeling JH. Clinical, pathologic, and immunologic features of pemphigus herpetiformis: a literature review and proposed diagnostic criteria. Int J Dermatol. 2019;58(9):997–1007. doi: https://doi.org/10.1111/ijd.14395

4. Floden C, Gentale H. A case of clinically typical dermatitis herpetiformis presenting acantholysis. Acta Derm Venereol. 1955;35(2):128.

5. Abramova TV. Puzyrchatka: immunopatogenez, diagnostika i patogeneticheskaya terapiya (kliniko-eksperimental’noe issledovanie). [abstract of dissertation]. Moscow; 2019. 48 p. (In Russ).

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