Reply

RR Mittal

 , India

Correspondence Address:
R R Mittal
,
India

To the Editor

Thanks for taking keen interest in the article titled "benign mucous membrane pemphigoid simulating genitoulcerative disease". We have not used any new term. Even in text bok. "Dermatology in General Medicine" by Fitzpartrick this term has been used as synonym to benign mucosal pemphigoid. I think "benign mucous membrane pemphigoid" is a standard term.

As immunofluorescence studies are not available in our institution, we have to depend only on light microscopy even for diagnosing vesiculobullous disorders, and that serves the purpose reasonably well. All the genitoulcerative sexually transmitted diseases and lichen sclerosus et atrophicus were kept in differential diagnoses and excluded after repeated investigations and biopsies. I don′t agree that light microscopy alone cannot confirm diagnosis in vesiculobullous lesions.

Clinical photograph was also sent along with original article which was written as case report and later reduced to "Letter to Editor" type. Clinical description that mucosa around ulcers and bullae was whitish, wrinkled and firm was clinical evidence of fibrosis which is clearly seen in the clinical photograph of the patient. Photograph can be published along with this letter to remove doubt. Histopathology studies are available and can be reviewed any time.