• J Drugs Dermatol · Dec 2002

    Pemphigus foliaceus presenting as eruptive seborrheic keratosis and responding to oral gold treatment.

    • Mohammed M Bagheri, Mehran Alagheband, Omeed M Memar, and David B Eiler.
    • Department of Dermatology, New York Medical College (A), Valhalla, New York, USA.
    • J Drugs Dermatol. 2002 Dec 1;1(3):333-4.

    AbstractPemphigus Foliaceus (PF) is an antibody-mediated autoimmune disease. IgG directed against desmoglein-1 induces acantholysis in the superficial epidermis, leading to the classic presentation of crusted erosions in a seborrheic distribution. We report a case of a 51-year-old African-American man with an 8-year history of PF, who developed multiple hyperpigmented, 'stuck-on' appearing verrucous papules and plaques on the back, chest, and neck. Skin biopsy and direct immunofluorescence from the seborrheic keratosis-like lesions was consistent with pemphigus foliaceus. The patient was treated by adding oral gold (auranofin) to his regimen of prednisone and discontinuing hydroxychloroquine. After six months of follow-up his erosions healed. This is the first report of treating pemphigus foliaceus with oral gold.

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