Pemphigus vulgaris (PV) is a chronic autoimmune disease which may be potentially life threatening. PV manifests as blisters and erosions of the skin and the mucous membrane. It can manifest initially as oral lesions. It is essential to diagnose this condition early in order to avoid the serious complications. We describe a case of 58 year old male presented with bleeding gums and burning sensation for 6 months. Patient was earlier misdiagnosed as having gingivitis. Though it is rare for pemphigus vulgaris to present with gingival involvement as primary site of manifestation, our case emphasizes the importance of thorough history and clinical examination for the early diagnosis and management of such condition.
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