Sıddıka FINDIK, Munise DAYE, Sultan CİHAN, Koray DURMAZ

Transition of Pemphigus Vulgaris to Pemphigus Foliaceus Due to Non-Drug Substances

Pemphigus is an auto-immune bullous disease which includes subgroups such as; Vulgaris, Foliaceus, and others. Pemphigus disease is characterized by bullous lesions and erosions of the skin and mucosae. The disease may develop due to the use of some drugs but sometimes it may flare up due to the misuse of some non-drug substances. We saw this in a 51-year-old patient who was advised by his charlatan friend to use a non-prescribed mixture which contained donkey milk, tar, puse, and tree root water. His pemphigus vulgaris disease showed the transition to foliaceus subtype accompanied by secondary erythroderma. When we scanned through literature, we noticed that this is the first case of pemphigus subtype conversion triggered by non-drug substances intake.

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