Abstract
Pemphigus vegetans is a rare clinical form of pemphigus vulgaris, and scalp involvement is even rarer. Treatment can be challenging, often requiring systemic immunosuppression. Botulinum toxin can be an effective and low-risk alternative for the treatment of pemphigus vegetans unresponsive to conventional treatments. We report an unprecedented case in the literature of successful treatment of scalp lesions through the application of botulinum toxin type A.