{"id":"https://openalex.org/W7225008133","doi":"https://doi.org/10.25259/jsstd_54_2026","title":"Adolescent pemphigus vulgaris: A diagnostic dilemma","display_name":"Adolescent pemphigus vulgaris: A diagnostic dilemma","publication_year":2026,"publication_date":"2026-10-31","ids":{"openalex":"https://openalex.org/W7225008133","doi":"https://doi.org/10.25259/jsstd_54_2026"},"language":"en","primary_location":{"id":"doi:10.25259/jsstd_54_2026","doi":"https://doi.org/10.25259/jsstd_54_2026","is_oa":true,"landing_page_url":"https://doi.org/10.25259/jsstd_54_2026","pdf_url":"https://jsstd.org/content/102/2026/0/1/pdf/JSSTD-54-2026.pdf","source":{"id":"https://openalex.org/S4210216947","display_name":"Journal of Skin and Sexually Transmitted Diseases","issn_l":"2582-3175","issn":["2582-3175","2994-6026"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4323830092","host_organization_name":"Scientific Scholar","host_organization_lineage":["https://openalex.org/P4323830092"],"host_organization_lineage_names":["Scientific Scholar"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Skin and Sexually Transmitted Diseases","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://jsstd.org/content/102/2026/0/1/pdf/JSSTD-54-2026.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5160274039","display_name":"Lina Varghese Varghese","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802498779","display_name":"Pushpagiri Medical College","ror":"https://ror.org/02f7s4h98","country_code":"IN","type":"education","lineage":["https://openalex.org/I2802498779"]}],"countries":["IN"],"is_corresponding":true,"raw_author_name":"Lina Varghese Varghese","raw_affiliation_strings":["Department of Dermatology, Venereology and Leprosy, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, Venereology and Leprosy, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India,","institution_ids":["https://openalex.org/I2802498779"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5093743721","display_name":"Thankappan Thonduparampil Pappen","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802498779","display_name":"Pushpagiri Medical College","ror":"https://ror.org/02f7s4h98","country_code":"IN","type":"education","lineage":["https://openalex.org/I2802498779"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Thankappan Thonduparampil Pappen","raw_affiliation_strings":["Department of Dermatology, Venereology and Leprosy, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, Venereology and Leprosy, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India,","institution_ids":["https://openalex.org/I2802498779"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5058971239","display_name":"Balachandran Parapattu Kunjukunju","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802498779","display_name":"Pushpagiri Medical College","ror":"https://ror.org/02f7s4h98","country_code":"IN","type":"education","lineage":["https://openalex.org/I2802498779"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Balachandran Parapattu Kunjukunju","raw_affiliation_strings":["Department of Dermatology, Venereology and Leprosy, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Dermatology, Venereology and Leprosy, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India,","institution_ids":["https://openalex.org/I2802498779"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5003406714","display_name":"Rebecca Mathews","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I2802498779","display_name":"Pushpagiri Medical College","ror":"https://ror.org/02f7s4h98","country_code":"IN","type":"education","lineage":["https://openalex.org/I2802498779"]}],"countries":["IN"],"is_corresponding":false,"raw_author_name":"Rebecca Mathews","raw_affiliation_strings":["Department of Pathology, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India,"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Pathology, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala, India,","institution_ids":["https://openalex.org/I2802498779"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5160274039"],"corresponding_institution_ids":["https://openalex.org/I2802498779"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.8573728,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"0","issue":null,"first_page":"1","last_page":"3"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11730","display_name":"Autoimmune Bullous Skin Diseases","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11730","display_name":"Autoimmune Bullous Skin Diseases","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11650","display_name":"Skin and Cellular Biology Research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1307","display_name":"Cell Biology"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T12355","display_name":"Genetic and rare skin diseases.","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pemphigus-vulgaris","display_name":"pemphigus vulgaris","score":0.9890000224113464},{"id":"https://openalex.org/keywords/autoimmune-blistering-disease","display_name":"autoimmune blistering disease","score":0.8510000109672546},{"id":"https://openalex.org/keywords/misdiagnosis","display_name":"misdiagnosis","score":0.8939999938011169},{"id":"https://openalex.org/keywords/oral-mucosal-erosions","display_name":"oral erosions","score":0.9980000257492065},{"id":"https://openalex.org/keywords/direct-immunofluorescence","display_name":"direct immunofluorescence","score":0.9089999794960022},{"id":"https://openalex.org/keywords/histopathology","display_name":"histopathology","score":0.8859999775886536},{"id":"https://openalex.org/keywords/clinicopathological-correlation","display_name":"clinicopathological correlation","score":0.8659999966621399}],"concepts":[{"id":"https://openalex.org/C2781313415","wikidata":"https://www.wikidata.org/wiki/Q3899001","display_name":"Pemphigus vulgaris","level":2,"score":0.8702999949455261},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.864799976348877},{"id":"https://openalex.org/C16005928","wikidata":"https://www.wikidata.org/wiki/Q171171","display_name":"Dermatology","level":1,"score":0.7641000151634216},{"id":"https://openalex.org/C2781327288","wikidata":"https://www.wikidata.org/wiki/Q1483214","display_name":"Pemphigus","level":2,"score":0.5694000124931335},{"id":"https://openalex.org/C2778047097","wikidata":"https://www.wikidata.org/wiki/Q3031","display_name":"Girl","level":2,"score":0.4408999979496002},{"id":"https://openalex.org/C98246554","wikidata":"https://www.wikidata.org/wiki/Q5280334","display_name":"Direct fluorescent antibody","level":3,"score":0.38359999656677246},{"id":"https://openalex.org/C2986629439","wikidata":"https://www.wikidata.org/wiki/Q9635","display_name":"Oral cavity","level":2,"score":0.30239999294281006},{"id":"https://openalex.org/C2983449737","wikidata":"https://www.wikidata.org/wiki/Q177719","display_name":"Clinical diagnosis","level":2,"score":0.29429998993873596},{"id":"https://openalex.org/C2779075594","wikidata":"https://www.wikidata.org/wiki/Q8084905","display_name":"Autoimmune disease","level":3,"score":0.28279998898506165},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.27619999647140503},{"id":"https://openalex.org/C2778496695","wikidata":"https://www.wikidata.org/wiki/Q254128","display_name":"Dilemma","level":2,"score":0.2720000147819519},{"id":"https://openalex.org/C137627325","wikidata":"https://www.wikidata.org/wiki/Q156318","display_name":"Etiology","level":2,"score":0.26429998874664307},{"id":"https://openalex.org/C2775934546","wikidata":"https://www.wikidata.org/wiki/Q179991","display_name":"Biopsy","level":2,"score":0.25519999861717224},{"id":"https://openalex.org/C2909114478","wikidata":"https://www.wikidata.org/wiki/Q3245680","display_name":"Mucosal lesions","level":2,"score":0.25189998745918274}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.25259/jsstd_54_2026","doi":"https://doi.org/10.25259/jsstd_54_2026","is_oa":true,"landing_page_url":"https://doi.org/10.25259/jsstd_54_2026","pdf_url":"https://jsstd.org/content/102/2026/0/1/pdf/JSSTD-54-2026.pdf","source":{"id":"https://openalex.org/S4210216947","display_name":"Journal of Skin and Sexually Transmitted Diseases","issn_l":"2582-3175","issn":["2582-3175","2994-6026"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4323830092","host_organization_name":"Scientific Scholar","host_organization_lineage":["https://openalex.org/P4323830092"],"host_organization_lineage_names":["Scientific Scholar"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Skin and Sexually Transmitted Diseases","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.25259/jsstd_54_2026","doi":"https://doi.org/10.25259/jsstd_54_2026","is_oa":true,"landing_page_url":"https://doi.org/10.25259/jsstd_54_2026","pdf_url":"https://jsstd.org/content/102/2026/0/1/pdf/JSSTD-54-2026.pdf","source":{"id":"https://openalex.org/S4210216947","display_name":"Journal of Skin and Sexually Transmitted Diseases","issn_l":"2582-3175","issn":["2582-3175","2994-6026"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/P4323830092","host_organization_name":"Scientific Scholar","host_organization_lineage":["https://openalex.org/P4323830092"],"host_organization_lineage_names":["Scientific Scholar"],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Skin and Sexually Transmitted Diseases","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9763000011444092,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/case-report","display_name":"Case Report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225008133.pdf","grobid_xml":"https://content.openalex.org/works/W7225008133.grobid-xml"},"referenced_works_count":3,"referenced_works":["https://openalex.org/W2013817576","https://openalex.org/W2914117542","https://openalex.org/W4410792782"],"related_works":["https://openalex.org/W101935779","https://openalex.org/W2406809616","https://openalex.org/W2972731762","https://openalex.org/W1999079457","https://openalex.org/W1543494490","https://openalex.org/W4396978487","https://openalex.org/W4321507306","https://openalex.org/W4254995374","https://openalex.org/W2312829501","https://openalex.org/W1967934683"],"abstract_inverted_index":{"Pemphigus":[0],"vulgaris":[1,41],"is":[2,11,54],"a":[3,23,61],"rare":[4],"autoimmune":[5],"bullous":[6],"disorder":[7],"in":[8,14,77,81],"adolescents":[9],"and":[10,48,73],"frequently":[12],"misdiagnosed":[13],"its":[15],"early":[16,71],"stages.":[17],"We":[18],"report":[19],"the":[20,68,82],"case":[21,66],"of":[22,38,70],"14-year-old":[24],"girl":[25],"who":[26],"presented":[27],"with":[28,33,60],"multiple":[29],"flaccid":[30],"bullae":[31],"associated":[32],"oral":[34],"erosions.":[35],"The":[36,52],"diagnosis":[37],"adolescent":[39,83],"pemphigus":[40],"was":[42],"confirmed":[43],"based":[44],"on":[45,56],"histopathological":[46],"findings":[47],"direct":[49],"immunofluorescence":[50],"studies.":[51],"patient":[53],"currently":[55],"dexamethasone-azathioprine":[57],"pulse":[58],"therapy":[59],"good":[62],"clinical":[63],"response.":[64],"This":[65],"highlights":[67],"importance":[69],"recognition":[72],"appropriate":[74],"clinicopathological":[75],"correlation":[76],"diagnosing":[78],"this":[79],"condition":[80],"age":[84],"group.":[85]},"counts_by_year":[],"updated_date":"2026-11-02T09:45:03.842371","created_date":"2026-11-01T00:00:00"}