Open AccessRecurrent Paronychia as a Presenting Manifestation of Pemphigus Vulgaris: A Case Report
Author(s) -
Vijay Zawar,
Manoj Pawar,
Shrikant Kumavat
Publication year - 2017
Publication title -
skin appendage disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.773
H-Index - 13
eISSN - 2296-9195
pISSN - 2296-9160
DOI - 10.1159/000455881
Subject(s) - paronychia , pemphigus vulgaris , dermatology , medicine , pemphigus , mucocutaneous zone , nail (fastener) , nail disease , acantholysis , pathology , disease , immunology , autoantibody , materials science , metallurgy , antibody
Nail involvement in pemphigus vulgaris (PV) is an unusual clinical finding. The most common clinical manifestations include chronic paronychia and onychomadesis. We report an adult female patient with PV who initially presented with chronic paronychia of multiple fingernails and toenails before the onset of vesiculobullous eruptions. Later on, after complete resolution, there was recurrence of pemphigus presenting as hemorrhagic paronychia of the left index finger. Systemic treatment with corticosteroids and azathioprine led to complete resolution of mucocutaneous lesions as well as nail manifestations. Thus, chronic treatment-resistant paronychia may be an early and important sign of generalized pemphigus in certain patients.