2025, Number 2
<< Back Next >>
Dermatología Cosmética, Médica y Quirúrgica 2025; 23 (2)
Pemphigus vulgaris and coexistence with herpes virus: a case report
Figueroa HMF, Polanco LAS, Parra JLS, Berumen-Glinz C, Vega MME
Language: Spanish
References: 12
Page: 104-108
PDF size: 263.99 Kb.
ABSTRACT
Pemphigus vulgaris (PV) is an autoimmune disease characterized
by involvement of the mucous membranes and skin with suprabasal
acantholytic vesicles, caused by autoantibodies targeting
keratinocyte junctions. It has been associated with infection by
herpes simplex virus (HSV), through molecular mimicry or activating
autoimmune potential. This association has been described as
a complication of pv immunosuppressive therapy, or as a trigger
for pemphigus with a role in its etiopathogenesis; or alternatively,
without evidence of viral infection.
We report a 16-year-old male patient diagnosed with pv who
initiated immunosuppressive treatment without improvement,
was clinically reassessed and HSV was identified. Treatment with
acyclovir was initiated and, in conjunction with the baseline treatment,
resolution of the lesions was achieved.
REFERENCES
Konda D, Chandrashekar L, Dhodapkar R, Ganesh RN y ThappaDM, Clinical markers of herpes simplex virus infection inpatients with pemphigus vulgaris, J Am Acad Dermatol 2023;88(3):587-92.
Mihai S y Sitaru C, Immunopathology and molecular diagnosisof autoimmune bullous diseases, J Cell Mol Med 2007;11(3):462-81.
Hertl M, Eming R, Veldman C, T cell control in autoimmune bullousskin disorders, J Clin Invest 2006; 116(5):1159-66.
Nikkels AF, Delvenne P, Herfs M y Pierard GE, Occult herpessimplex virus colonization of bullous dermatitides, Am J ClinDermatol 2008; 9(3):163-8.
Marzano AV, Tourlaki A, Merlo V, Spinelli D, Venegoni L y CrostiC, Herpes simplex virus infection and pemphigus, Int J ImmunopatholPharmacol 2009; 22(3):781-6.
Kalra A, Ratho RK, Kaur I y Kumar B, Role of herpes simplex andcytomegalo viruses in recalcitrant oral lesions of pemphigusvulgaris, Int J Dermatol 2005; 44(3):259-60.
Kneisel A y Hertl M, Autoimmune bullous skin diseases. Part 1:Clinical manifestations, J Dtsch Dermatol Ges 2011; 9(10):844-56.
Uriarte Ruiz K y Vega Memije ME, Casuística de pénfigo en elHospital General Dr. Manuel Gea González, 1980-2021, DermatologíaCosmética, Médica y Quirúrgica 2022; 20(1):88-90.
Murrell DF, Dick S, Ahmed AR et al., Consensus statement ondefinitions of disease, end points, and therapeutic response forpemphigus, J Am Acad Dermatol 2008; 58(6):1043-6.
Ruocco E, Ruocco V, Lo Schiavo A et al., Viruses and pemphigus:an intriguing never-ending story, Dermatology 2014;229(4):310-5.
Vega Memije ME, García Vázquez FJ, Cuevas González JC, RodríguezLobato E y Aguilar-Urbano MA, Is there a causal relationshipbetween hsv-1 and pemphigus vulgaris?, Springerplus2015; 23(4):811.
Yanduri S, Gokuldas A, Kumar VB et al., Herpes simplex virus: aseed or sequelae to pemphigus?, J Dent Res 2019; 10(3):154-7.