Intralesional Corticosteroid Therapy for Resistant Scalp Lesions in a Patient with Pemphigus Vulgaris

Abstract

Here in we reported a patient who has been diagnosed as Pemphigus Vulgaris clinically and histopathologically. Lesions, which are located on the trunk, extremities and oral mucosa, responded to oral Prednisolone, but scalp lesions did not. Two intralesional injections of triamcinolon acetonide solution with one month interval, tothe resistant scalp lesions were applied. After one year, the lesion relapsed and the patient had significant improvement with additional two intralesional steroid injections. Intralesional injection of triamcinolon acetonide solution was used for the treatment of resistant scalp lesions and significant improvement was recorded after the second injection. For the treatment-resistant Pemphigus Vulgaris lesions, intralesional triamcinolon acetonide injection is an another alternative choice of trealment.