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.