A patient with pemphigus vulgaris needs systemic management. Which specialist consultation is MOST important?

Correct answer: B. Dermatology

• A. Endocrinology is not the primary specialty for pemphigus management.
• B. Correct. Pemphigus vulgaris primarily involves the skin and mucous membranes. Dermatology manages the systemic immunosuppressive therapy (corticosteroids, rituximab). The source noted dermatology was NOT in the answer choices — this tests whether students know dermatology is the correct answer even when it appears absent.
• C. While ocular involvement can occur, dermatology is the primary managing specialty for pemphigus.
• D. Nephrology is not a primary consideration for pemphigus vulgaris management.