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Pemphigus Herpetiformis in Childhood: Clinical Case

https://doi.org/10.15690/vsp.v22i5.2636

Abstract

Background. Pemphigus herpetiformis is a rare atypical bullous dermatosis of autoimmune nature. It is characterized by rashes in the form of plaques with papules and vesicles at peripheral areas, or in the form of grouped papules, vesicles or tense bubbles with clinical similarity to During's herpetiformis dermatitis. Pemphigus herpetiformis diagnosis in pediatric practice is difficult due to the similarity of clinical manifestations to bullous dermatoses of other etiology, the rarity of the disease in children, and small number of scientific publications.

Clinical case description. Clinical case of pemphigus herpetiformis in a child is described. All necessary diagnostic algorithms for diagnosis and therapeutic tactics for patient management are presented. Dapsone and prednisolone were used as first-line drugs during the patient's treatment. They have shown its efficacy in management of such patients.

Conclusion. Differential diagnosis of pemphigus herpetiformis and other bullous dermatoses in children is presented. The results of successful drug treatment are shown.

About the Authors

Nikolay N. Murashkin
National Medical Research Center of Children’s Health; Sechenov First Moscow State Medical University; Central State Medical Academy of Department of Presidential Affairs
Russian Federation

Moscow


Disclosure of interest:

receiving research grants from pharmaceutical companies Jansen, EliLilly, Novartis. Receiving fees for scientific counseling from companies Galderna, Pierre Fabre, Bayer, Leopharma, Pfizer, AbbVie, Amryt Pharma, Celgene, Mölnlycke Health Care AB, Zeldis Pharma



Alexander I. Materikin
National Medical Research Center of Children’s Health
Russian Federation

Moscow


Disclosure of interest:

receiving research grants from pharmaceutical companies Eli Lilly, Novartis, AbbVie, Amryt Pharma, Jansen, Pfizer, Celgene. Receiving fees for scientific counseling from company Mölnlycke Health Care AB



Roman V. Epishev
National Medical Research Center of Children’s Health
Russian Federation

Moscow


Disclosure of interest:

receiving research grants from pharmaceutical companies Eli Lilly, Novartis, AbbVie, Amryt Pharma, Jansen, Pfizer, Celgene. Receiving fees for scientific counseling from company Mölnlycke Health Care AB



Maria A. Leonova
National Medical Research Center of Children’s Health
Russian Federation

Moscow


Disclosure of interest:

Other authors confirmed the absence of a reportable conflict of interests



Leonid A. Opryatin
National Medical Research Center of Children’s Health
Russian Federation

Москва


Disclosure of interest:

receiving fees for scientific counseling from companies Eli Lilly, Jansen



Dmitri V. Fedorov
National Medical Research Center of Children’s Health
Russian Federation

Moscow


Disclosure of interest:

Other authors confirmed the absence of a reportable conflict of interests



Roman A. Ivanov
National Medical Research Center of Children’s Health
Russian Federation

Moscow


Disclosure of interest:

Other authors confirmed the absence of a reportable conflict of interests



Alena A. Savelova
National Medical Research Center of Children’s Health
Russian Federation

Moscow


Disclosure of interest:

Other authors confirmed the absence of a reportable conflict of interests



Oksana R. Katunina
National Medical Research Center of Children’s Health
Russian Federation

Moscow


Disclosure of interest:

Other authors confirmed the absence of a reportable conflict of interests



Kirill A. Kulikov
National Medical Research Center of Children’s Health
Russian Federation

Moscow


Disclosure of interest:

Other authors confirmed the absence of a reportable conflict of interests



Ilgiz I. Yarullin
Central State Medical Academy of Department of Presidential Affairs
Russian Federation

Moscow


Disclosure of interest:

Other authors confirmed the absence of a reportable conflict of interests



References

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Review

For citations:


Murashkin N.N., Materikin A.I., Epishev R.V., Leonova M.A., Opryatin L.A., Fedorov D.V., Ivanov R.A., Savelova A.A., Katunina O.R., Kulikov K.A., Yarullin I.I. Pemphigus Herpetiformis in Childhood: Clinical Case. Current Pediatrics. 2023;22(5):458-463. (In Russ.) https://doi.org/10.15690/vsp.v22i5.2636

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ISSN 1682-5527 (Print)
ISSN 1682-5535 (Online)