Simultaneous Oral and Umbilical Locations as a First Sign of Pemphigus Vulgaris

Figure 2

Blisters of the oral mucosa with a positive Nikolsky sign. Presence of poor oral hygiene-associated bullous lesions and ulcerations. Nikolsky sign: epithelial cells are separated from the basement membrane, allowing an assessment of the fragility of epithelial attachment mechanisms (acantholysis).

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