Abstract
A case of intraoral pemphigus vulgaris treated with gold sodium thiomalate following systemic corticosteroid therapy was presented.
The patient was a 52-year-old woman. She was referred to our hospital complaining of pain in the pharynx and difficulty in eating due to oral ulcerations and diagnosed as having pemphigus vulgaris clinically and histologically. She was treated in hospital with systemic corticosteroid therapy. Her oral lesions resolved a little, although they continued. Therefore, the patient was given up to 30 mg predonisone daily on average. Her antiepitherial antibody titer was 60 dilutions at the time gold sodium thiomalate therapy was begun. After the patient had received 1, 385 mg of gold sodium thiomalate, she was free of lesions. Systemic administration of corticosteroids was stopped.
