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April 30, 2026Journal of Case Reports and Images in OncologyOpen Access

A rare case of pemphigus vegetans with underlying diffuse large B-cell lymphoma

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Authors

AGAashima GuptaMKMaria A KelleyJSJeremy Schmoyer

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Overview

Case report demonstrates the challenges in diagnosing pemphigus vegetans in patients with lymphoma, suggesting a deeper link between the two conditions.

Key Points

  • To explore the clinical connection between pemphigus vegetans and diffuse large B-cell lymphoma in a patient with concurrent diagnoses.
  • Patient with atypical pemphigus vegetans presenting with verrucous lesions and an exophytic lesion.
  • Diagnosis confirmed through clinical features, histopathology, and serologic evidence against desmoglein 1 and 3.
  • Unified treatment approach with R-CHOP regimen targeting both conditions.
  • Patient showed lesion clearance after treatment with R-CHOP, indicating a positive response to lymphoma-targeted therapy.
  • The timing of pemphigus vegetans eruption correlated with diffuse large B-cell lymphoma recurrence, suggesting a potential association.
  • This case highlights the need for consideration of rare pemphigus variants as indicators of hematological malignancies.

Cite This Study

Gupta et al. (2026) studied this question.

synapsesocial.com/papers/69f2f1be1e5f7920c638756fhttps://doi.org/10.5348/100155z10ag2026ci
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