A 28-year-old woman diagnosed with pemphigus vulgaris (PV) was initially treated with steroid and azathioprine 3 years ago. The patient has three histories of disease relapses: twice when she was on 7.5 mg/day and once she was on 12.5 mg/day of prednisone. Currently her symptoms are under control with 5 mg/day of prednisone .

Note: The photos were taken when symptoms were present (Figs. 33.1, 33.2, 33.3, 33.4, 33.5, and 33.6).