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Pemphigus vulgaris presenting with epigastric pain
Marawan Elmassry1, Jerapas Thongpiya1, Pitchaporn Yingchoncharoen1
1Department of Internal Medicine Texas Tech University Health Sciences Center Lubbock Texas USA.
Abstract:
Pemphigus vulgaris is an autoimmune mucocutaneous disease with an involvement in gastrointestinal tract especially in oral cavity and esophagus. Ulcers can be the initial presentation even before visible mucosal or cutaneous lesions. The presenting symptoms will be in accordance with the affected organ such as throat pain, hoarseness, dysphagia, odynophagia, or even bleeding. Here, we report a case of undiagnosed pemphigus vulgaris presenting with epigastric pain whose endoscopy showed oropharyngeal involvement and isolate esophageal ulcer, which failed proton pump inhibitor treatment.
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