A middle aged female has flaccid bullac in the skin and oral erosion. Histopathology shows intraepidermal acanthololytic blisters. The most likely diagnosis is
In pemphigus vulgaris skin involvement stas in the form of flaccid blisters. Cutaneous lesions are usually preceded by blisters and erosions of oral mucosa. HP shows a suprabasal cleft with bulla formation just above the basal layer with a tomb stone appearance and with blister cavity containing acantholytic cells and inflammatory cells.Page no 280,282. Reference IADVL's concise textbook of dermatology
Pemphigus vulgaris
Paraneoplastic pemphigus
Bullous pemphigoid
Dermatitis hepatifOflis
Vestibulobullous disorders