Clinical presentation

A 60-year-old woman with a long standing history of cutaneous pemphigus vulgaris (PV), was admitted to our hospital complaining of progressive dysphagia and odynophagia to both liquids and solids over a 2-month duration. Patient suffered from limited oral caloric intake and a 30-pound weight loss. Current medication included oral Prednisone and recently started Azathioprine. On physical examination, she had multiple denuded hyperaemic lesions involving soft palate, gingiva, uvula, and oropharynx. Numerous hyperpigmented cutaneous macules …