{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T04:28:56Z","timestamp":1777868936788,"version":"3.51.4"},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"vor","delay-in-days":119,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Dermatological Medicine"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:p>Pemphigus vulgaris (PV) is an autoimmune blistering disease that may present predominantly with mucosal involvement and is frequently misdiagnosed as infectious or inflammatory conditions. We describe a 72\u2010year\u2010old Filipino woman with a 3\u2010month history of painful oral and genital ulcerations and subsequent flaccid bullae who was initially diagnosed and treated sequentially for candidiasis, disseminated herpes zoster infection, and Beh\u00e7et\u2019s disease based on International Criteria for Beh\u00e7et\u2019s Disease scoring. Despite multiple antimicrobial therapies, her symptoms progressed. Definitive evaluation revealed intraepidermal acantholysis on histopathology and intercellular IgG and C3 deposition in a characteristic \u201cfishnet\u201d pattern on direct immunofluorescence, with positive desmoglein 1 and 3 antibodies, confirming PV. Prompt initiation of systemic corticosteroids led to rapid clinical improvement. This case underscores how diagnostic anchoring and reliance on classification criteria can delay recognition of autoimmune blistering disease, highlighting the need for early biopsy and direct immunofluorescence in persistent mucocutaneous ulceration.<\/jats:p>","DOI":"10.1155\/crdm\/9778760","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:54:06Z","timestamp":1777553646000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Recognizing Pemphigus Vulgaris in a Low Prevalence Setting: A Journey Through Multiple Diagnoses"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-1822-4826","authenticated-orcid":false,"given":"Maria Emilia Adenike V.","family":"Adedoja","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ma. May Jasmin","family":"Ramos Yason","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Aquino-Villamin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"e_1_2_8_1_2","doi-asserted-by":"publisher","DOI":"10.31729\/jnma.7594"},{"key":"e_1_2_8_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaad.2020.11.075"},{"key":"e_1_2_8_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/odi.14480"},{"key":"e_1_2_8_4_2","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.12107"},{"key":"e_1_2_8_5_2","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.16752"},{"key":"e_1_2_8_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/jop.13052"},{"key":"e_1_2_8_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/1346-8138.13381"},{"key":"e_1_2_8_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/jdv.12772"},{"key":"e_1_2_8_9_2","doi-asserted-by":"publisher","DOI":"10.3390\/diagnostics13010041"},{"key":"e_1_2_8_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(19)31778-7"},{"key":"e_1_2_8_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00105-023-05246-y"},{"key":"e_1_2_8_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)30070-3"},{"key":"e_1_2_8_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40257-019-00461-7"},{"key":"e_1_2_8_14_2","doi-asserted-by":"publisher","DOI":"10.3892\/etm.2019.7964"}],"container-title":["Case Reports in Dermatological Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crdm\/9778760","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/crdm\/9778760","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/crdm\/9778760","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:54:07Z","timestamp":1777553647000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/crdm\/9778760"}},"subtitle":[],"editor":[{"given":"Semonti","family":"Nandi","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/crdm\/9778760"],"URL":"https:\/\/doi.org\/10.1155\/crdm\/9778760","archive":["Portico"],"relation":{},"ISSN":["2090-6463","2090-6471"],"issn-type":[{"value":"2090-6463","type":"print"},{"value":"2090-6471","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-01-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-04-30","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"9778760"}}