A 45-year-old man is under treatment with prednisone and azathioprine after diagnosis of pemphigus vulgaris (PV). During the last 2 years, the patient has had a history of two relapses when he was on 10 mg prednisone. The second time, methotrexate was added as the adjuvant. He is now on daily 7.5 mg of prednisone and weekly dosage of 12.5 mg of methotrexate.

Note: The photos were taken when symptoms were present (Figs. 22.1, 22.2, 22.3, and 22.4).