Cytomegalovirus-associated gastric ulcer in an immunosuppressed patient with pemphigus vulgaris

A 79-year-old female with pemphigus vulgaris developed a cytomegalovirus (C MV)associated gastric ulcer whilst on standard immunosupression with azathi oprine and prednisolone, Following treatment with ganciclovir and ranitidin e the ulcer healed. CMV infection frequently involves the gastrointestinal tract of immunocompromised patients causing inflammation, ulceration and ha emorrhage. Although it has also been described in patients treated with imm unosuppressive therapy for malignancy and other autoimmune disease, we are not aware of previous reports in patients treated for autoimmune bullous di sease.