This patient presents with an intraepithelial bulla from breakdown of the cellular adhesion between epithelial cells. The bulla rupture, resulting in a painful itching ulcer. The correct diagnosis for this progressive autoimmune disease is

Question

Quizplus · Accepted Answer

Acantholysis (breakdown of the cellular adhesion between epithelial cells) is characteristic of pemphigus vulgaris. Reiter syndrome does not present with a bulla that ruptures, resulting in an ulcer. Aphthous ulcers are not a progressive autoimmune disease. Oral manifestations of Langerhans cell disease include loss of bone support, sore mouth, halitosis, gingivitis, and sore teeth.

This Patient Presents with an Intraepithelial Bulla from Breakdown of the Cellular