Pemphigus Vulgaris in a 3½-Year Old Boy

A case of pemphigus vulgaris in a child is presented that had its onset with oral erosions when the patient was 3½ years old and developed a generalized bullous eruption eight years later. Diagnosis was made by typical histologic picture and positive indirect immunofluorescence. Retarded growth and cushingoid appearance were the main complications of intermittent steroid therapy.