Postsurgical pemphigus vulgaris following thyroidectomy: a case report and review of the literature.
Simona Kordeva, Alisa Hristova, Valentina Broshtilova et al.
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Case in brief
A 49-year-old woman developed postsurgical pemphigus vulgaris at the site of a previous thyroidectomy scar. This autoimmune blistering disorder, although rare, can arise from surgical trauma and may extend beyond the initial scar. The patient received systemic treatment with methylprednisolone and azathioprine, resulting in partial clinical improvement.
Diagnostic / clinical pearl
Clinicians should consider postsurgical pemphigus vulgaris as a potential diagnosis in patients presenting with blistering lesions at surgical sites, distinguishing it from posttraumatic pemphigus.