Pemphigus Vegetans. Presented by Dr. Timothy J. Riordan.
T. C., a woman aged 52, was admitted to Bellevue Hospital on July 18, 1944. About eight months prior to admission "blisters" developed on the lips, roof of the mouth, tongue and buccal mucosa. For six months the lesions were confined to these areas. About two months before admission new lesions developed on the scalp and in the axillas, groin and intermammary folds. Examination of the skin showed bullae varying from a few millimeters to 1.5 cm. in diameter on the forehead, commissures of the mouth, upper lip, chin, axillas and groin. In the mouth there were bullae and ulcerations involving the palate, tongue and buccal mucosa.
About six to seven weeks after the patient was admitted to the hospital several discrete, moist vegetative lesions developed in the axillas, in the groin and in the lett intermammary area. These lesions gradually