A Rare Case of Management of Pemphigus Vulgaris in Pregnancy and Newborn

Pemphigus vulgaris (PV) is a rare autoimmune disorder that causes flaccid vesiculobullous lesions and erosions on the skin, with an annual incidence of 0.09-1.8% in India.Its occurrence during pregnancy is even rarer, with only 47 cases reported in the literature over a 49 years.The condition can worsen during the first and second trimesters and postpartum, with a phase of waning during the third trimester, which may be associated with endogenous corticosteroid secretion.The condition can affect various parts of the body, including pressure points, skin-to-skin contact areas, and oral and nasal mucosae.It can also lead to a transient benign form of neonatal lesions called pemphigus neonatorum due to transplacental transmission.Complications such as infertility and stillbirth can occur in women suffering from PV.This is a case of ART with IVF conception and managed successfully by our hospital, it was well-controlled with oral steroids and had an uneventful course in pregnancy, transient neonatal lesions also appeared after birth, which were managed successfully.Exacerbation postpartum was also seen but occurred due to non-compliance with corticosteroid therapy by the patient.