Case report: Oral
pemphigus vulgaris with multiple oral polyps in a young patient
Samar Z. Burgan, Faleh A. Sawair, Seamus S. Napier
International Dental Journal,vol 53: 37-40, 2003.
A rare case of oral pemphigus vulgaris is
presented, which developed initially in a 9-year old Jordanian
male. The disease was not well controlled with immunosuppressive
therapy and was complicated by the development of multiple oral
polyps approximately one year after the onset of symptoms.
These lesions were smooth, painless and located particularly on
the upper labial gingiva, the labial and buccal mucosae and the
tongue. Disease activity continued for approximately nine years
until the patient was referred to an Oral Medicine Specialist.
Histological examination of the polyps revealed exuberant
granulation tissue. Adjustment of the steroid dosage lead to
resolution of the oral symptoms and the polyps reduced in number
and in size. This case highlights the occurrence of pemphigus
vulgaris in young patients, illustrates a rare complication of
persistent ulcero-inflammatory disease and emphasises the
importance of specialist referral in the management of oral