Corresponding author: Marawan Elmassry MD
Department of Internal Medicine, Texas Tech University Health Sciences Center, Lubbock, TX, USA
3601 4th St, Lubbock, TX 79430
Email: Marawan.Elmassry@ttuhsc.edu
Conflict of interest: The authors have no financial conflicts to disclose.
Patient’s consent: Written informed consent was obtained from the patient to publish this report in accordance with the journal’s patient consent policy.
Abstract: Pemphigus vulgaris is an autoimmune mucocutaneous disease with an involvement in gastrointestinal tract especially in oral cavity and esophagus. Ulcers can be the initial presentation even before visible mucosal or cutaneous lesions. The presenting symptoms will be in accordance with the affected organ such as throat pain, hoarseness, dysphagia, odynophagia or even bleeding. Here, we report a case of undiagnosed pemphigus vulgaris presenting with epigastric pain whose endoscopy showed oropharyngeal involvement and isolate esophageal ulcer, which failed proton pump inhibitor treatment.
Keywords: Pemphigus Vulgaris, Autoimmune Mucocutaneous Disease, Epigastric Pain, Esophageal Ulcer.