Pênfigo vulgar sobre cicatrizes de mamoplastia de aumento com próteses mamárias e de abdominoplastia clássica em paciente: um relato de caso

Lucas Ribeiro Canedo; Brenner Dolis Marretto de Moura; Bárbara Matsumoto Lima; Ivam Pereira Mendes Neto; Damião Marcelo Pontes Feitosa; Carmélia Matos Santiago Reis

doi:10.23925/1984-4840.2023v25a6

Authors

Lucas Ribeiro Canedo Fundação de Ensino e Pesquisa em Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde https://orcid.org/0000-0001-7548-663X
Brenner Dolis Marretto de Moura Fundação de Ensino e Pesquisa em Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde https://orcid.org/0000-0003-2111-5678
Bárbara Matsumoto Lima Hospital Regional da Asa Norte. Serviço de Dermatologia https://orcid.org/0000-0002-3071-4501
Ivam Pereira Mendes Neto Hospital Regional da Asa Norte, Serviço de Cirurgia Plástica
Damião Marcelo Pontes Feitosa Hospital Regional da Asa Norte, Serviço de Cirurgia Plástica
Carmélia Matos Santiago Reis Fundação de Ensino e Pesquisa em Ciências da Saúde. Programa de Pós-Graduação em Ciências da Saúde

DOI:

https://doi.org/10.23925/1984-4840.2023v25a6

Keywords:

Pemphigus, Wound healing, Mammaplasty, Adbominoplasty, Surgical wound

Abstract

Pemphigus vulgaris (PV) is a dermatosis that affects the skin and mucous membranes. Its incidence is two new cases/million inhabitants/year in Central Europe. It is known to be multifactorial and involves interaction between genetic predisposition and environmental factors. This study reports a rare case of PV after plastic surgery. We present the case of a 51-year-old woman with suture dehiscence in the postoperative period of mammoplasty with prosthesis and abdominoplasty and, subsequently, the appearance of bullous lesions in the scars. These lesions were later diagnosed as PV. The patient evolved with improvement of the lesions after corticosteroid therapy. It is also noteworthy that the patient had COVID-19 during hospitalization, a known factor of exacerbation of pemphigus, but without worsening of the lesions and with complete regression of the infectious condition after treatment. The clinical evolution of PV can be limited to mucosal involvement or progress to the skin. Large eroded, exudative, bleeding, confluent, painful areas are formed, with no tendency to heal¹. Cutaneous involvement can occur anywhere, being more common on the scalp, trunk, abdomen and flexures.

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