Funding sources None.
CLINICAL AND LABORATORY INVESTIGATIONS
Study of oral, ear, nose and throat involvement in pemphigus vulgaris by endoscopic examination
Version of Record online: 29 OCT 2012
© 2012 The Authors. BJD © 2012 British Association of Dermatologists
British Journal of Dermatology
Volume 167, Issue 5, pages 1011–1016, November 2012
How to Cite
Fernández, S., España, A., Navedo, M. and Barona, L. (2012), Study of oral, ear, nose and throat involvement in pemphigus vulgaris by endoscopic examination. British Journal of Dermatology, 167: 1011–1016. doi: 10.1111/j.1365-2133.2012.11098.x
Conflicts of interest None declared.
S.F. and A.E. contributed equally to this work.
- Issue online: 29 OCT 2012
- Version of Record online: 29 OCT 2012
- Accepted manuscript online: 20 JUN 2012 03:37PM EST
- Accepted for publication 30 May 2012
Summary Background Pemphigus vulgaris (PV) is an autoimmune blistering skin disorder characterized by the presence of suprabasal acantholysis and autoantibodies against desmoglein 3. There are two different clinical forms: mucocutaneous (MCPV) and mucosal (MPV). However, little is known about PV lesions in oral, ear, nose and throat (OENT) areas produced by the very dynamic of the anatomical structures involved in the functions of the aerodigestive tract.
Objectives To investigate the pattern of OENT manifestations in PV, and their relationship with physiological traumatic mechanisms in stratified squamous epithelial structures.
Methods A prospective analysis of 40 patients diagnosed with MCPV (22 patients) or MPV (18 patients) was carried out at the University Clinic of Navarra. OENT manifestations were evaluated in all patients endoscopically. OENT involvement was divided into anatomical areas.
Results The most frequent symptom was pain, mainly on oral mucosa (87·5%). Buccal mucosa (90%), posterior wall of pharynx (67·5%), upper edge of epiglottis (85%) and nasal vestibule (70%) were the areas most frequently affected in the OENT mucosa. These localizations were related to physiological traumatic mechanisms in polystratified squamous epithelial structures.
Conclusions OENT endoscopy should be included in the examination of all patients with PV. Knowledge of the most frequent localizations of active lesions on OENT mucosa in PV will help us to interpret more efficiently the findings from OENT endoscopy. Also, information related to traumatic physiological mechanisms on OENT areas must be offered to patients in order to avoid the appearance of new active PV lesions.