Pemphigus vegetans occurring in a split-thickness skin graft.

BACKGROUND

Pemphigus vegetans, a variant of pemphigus vulgaris, most commonly occurs in the flexural area.

OBJECTIVE

To describe an unusual case of pemphigus vegetans occurring in a skin graft recipient site and to discuss the possible etiology.

METHODS

We present a 41-year-old man who developed vegetating plaques from the graft recipient site of his left leg for 8 months.

RESULTS

Based on the histopathologic findings of a skin biopsy, this case was diagnosed as pemphigus vegetans. The patient's condition was successfully treated with systemic corticosteroids and acitretin.

CONCLUSION

Our case is unique in its presentation of pemphigus vegetans shortly after a split-thickness skin graft. Physicians should be aware of this entity while differentiating cutaneous lesions arising from a skin graft.