Transition of Pemphigus Vulgaris to Pemphigus  Foliaceus Due to Non-Drug Substances

Munise Daye; Sultan Cihan; Sıddıka Fındık; Koray Durmaz

doi:10.5152/eurjther.2019.19026

Authors

Munise Daye Department of Dermatology Diseases, Necmettin Erbakan University Meram School of Medicine, Konya https://orcid.org/0000-0002-6614-1821
Sultan Cihan Department of Dermatology Diseases, Necmettin Erbakan University Meram School of Medicine, Konya https://orcid.org/0000-0002-2213-4363
Sıddıka Fındık Department of Pathology Diseases,Necmettin Erbakan University Meram School of Medicine https://orcid.org/0000-0002-3364-7498
Koray Durmaz Department of Dermatology Diseases, Necmettin Erbakan University Meram School of Medicine, Konya https://orcid.org/0000-0002-8636-9866

DOI:

https://doi.org/10.5152/eurjther.2019.19026

Keywords:

Dermatitis, environment and public health, exfoliative, pemphigus

Abstract

Pemphigus is an auto-immune bullous disease which includes subgroups such as; Vulgaris, Foliaceus, and others. Pemphigus disease is characterized by bullous lesions and erosions of the skin and mucosae. The disease may develop due to the use of some drugs but sometimes it may flare up due to the misuse of some non-drug substances. We saw this in a 51-year-old patient who was advised by his charlatan friend to use a non-prescribed mixture which contained donkey milk, tar, puse, and tree root water. His pemphigus vulgaris disease showed the transition to foliaceus subtype accompanied by secondary erythroderma. When we scanned through literature, we noticed that this is the first case of pemphigus subtype conversion triggered by non-drug substances intake.

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