Table 2.

Presentations of MMP

Sites involved	Presentations and potential complications
Skin	In 25–30% of patients19
	Localized erythematous plaque near affected mucosal surfaces, generalized bullous eruption particularly on the head and upper body, or vegetating lesions occasionally 102, 103
	Scarring, cicatricial alopecia on the scalp 104, 105
Oral cavity	In over 85% of patients
	Desquamative gingivitis, erosions, ulceration (Fig. 1)
	Pseudomembrane
	Vesicles rarely seen (Fig. 2), bleeding
	Pain and inability to eat certain types of food
	Self-limiting mostly
	Mild scarring or atrophy, intraoral adhesion, loss of teeth rarely
Eye	The second most common site (in 65% of patients) 106
	Nonspecific conjunctivitis
	Erosions, corneal damage
	Photophobia and photosensitivity, dryness
	Progressive process leading to scarring
	Symblepharon (Fig. 4), ankyloblepharon, trichiasis, entropion
	Blindness in close to 15% of patients
Nose	In 20–40% of patients
	Discharge, erosion, excessive crust
	Scarring
	Breathing difficulty
Larynx	In 5–15% of patients
	Sore throat, hoarseness
	Scarring, stenosis of airway
	Breathing difficulty
Esophagus	In 5–15% of patients
	Dysphagia, odynophagia, esophageal reflux
	Stricture formation
	Disability in eating
	Death
Anogenital area	In 20% of patients
	Erosion and ulceration
	Bleeding
	Pain
	Dysuria
	Sexual dysfunction