2007 Volume 6 Issue 6 Pages 590-594
A 42-year-old woman noticed a 6 months history of asymptomatic erythema on the back of head. The patient had been diagnosed as impetigo contaginosa, and had been treated by oral and topical antibiotic without effectiveness. The patient consulted our hospital complaining of the refractory, partially crusted erythema on the head and newly-appeared multiple erythema on the back. Histological examination of erythema on the head revealed acantholytic cells in the suprabasal cleft. Direct immunofluorescence result was negative. We diagnosed this patient as having transient acantholytic dermatosis (pemphigus vulgaris type, persistent type). Skin lesions were treated effectively by oral steroids.