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Oral Manifestation of Paraneoplastic Pemphigus

Journal of Oral Medicine and Pain 2019³â 44±Ç 3È£ p.118 ~ 122
Kim Seurin, ¹ÚÀÎÈñ, ¹Ú¿¬Á¤, ±ÇÁ¤½Â, ÃÖÁ¾ÈÆ, ¾ÈÇüÁØ,
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 ( Kim Seurin ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
¹ÚÀÎÈñ ( Park In-Hee ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
¹Ú¿¬Á¤ ( Park Youn-Jung ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
±ÇÁ¤½Â ( Kwon Jeong-Seung ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
ÃÖÁ¾ÈÆ ( Choi Jong-Hoon ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine
¾ÈÇüÁØ ( Ahn Hyung-Joon ) - Yonsei University College of Dentistry Department of Orofacial Pain and Oral Medicine

Abstract


Paraneoplastic pemphigus (PNP) is a rare and often fatal autoimmune blistering disease accompanied by both benign and malignant neoplasms. Usually, oral, skin, and mucosal lesions are the earliest manifestations shown by PNP patients. Oral ulcers are initial lesions in various autoimmune diseases like pemphigus, bullous pemphigoid, erythema multiforme, graft-versus-host, lichen planus, it does not improved despite of high-dose steroid therapy. We report a-35-year-old female who presented oral ulceration, lip crust and skin lesions. By doing several examinations, such as enzyme-linked immunosorbent assay, incisional biopsy with indirect immunofluorescence, she was diagnosed PNP with non-Hodgkin¡¯s lymphoma on pancreas.

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Enzyme-linked immunosorbent assay; Fluorescent antibody technique, indirect; Oral ulcer; Pemphigus

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