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Familial benign chronic pemphigus (Hailey-Hailey disease)

A 57-year-old woman presented with a 27-year history of vesicles and crusted erosions of the intertriginous folds. Prior treatments had included topical glucocorticoids, mupirocin, and minocycline, all of which provided minimal relief. A skin biopsy specimen was consistent with Hailey-Hailey disease...

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Bibliographic Details
Published in:Dermatology online journal 2009-08, Vol.15 (8), p.15-15
Main Authors: Warycha, Melanie, Patel, Rishi, Meehan, Shane, Merola, Joseph F
Format: Article
Language:English
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Summary:A 57-year-old woman presented with a 27-year history of vesicles and crusted erosions of the intertriginous folds. Prior treatments had included topical glucocorticoids, mupirocin, and minocycline, all of which provided minimal relief. A skin biopsy specimen was consistent with Hailey-Hailey disease. Hailey-Hailey disease is the result of mutations in the ATP2C1 gene and is characterized by recurrent vesicles and erosions in intertriginous areas. Whereas topical and/or systemic antibiotic/antifungal agents in combination with topical glucocorticoids is the mainstay of treatment, case reports have documented dramatic improvement with oral retinoids, calcitriol, and tacrolimus.
ISSN:1087-2108
1087-2108
DOI:10.5070/D35X694103