Pathology · single question
A patient with pemphigus vulgaris (PV) should be referred to which specialist?
Show answer and explanation
Correct answer: B. Dermatologist (PV is a systemic mucocutaneous disease)
- A. Ophthalmologist referral is important for MUCOUS MEMBRANE PEMPHIGOID (MMP/cicatricial pemphigoid) — which causes symblepharon and ocular scarring. PV rarely affects the eyes.
- B. Correct. Pemphigus vulgaris is a systemic autoimmune disease affecting both SKIN and mucous membranes. Dermatologists are the primary specialists for managing PV, as it typically requires systemic immunosuppression (corticosteroids, rituximab, mycophenolate). Oral manifestations are often the first sign but the dermatologist manages the overall disease.
- C. Endocrinologists are not involved in pemphigus management.
- D. Neurologists are not the primary referral for pemphigus vulgaris.