Ann Dermatol.  1989 Jul;1(2):73-76. 10.5021/ad.1989.1.2.73.

Epidermolysis Bullosa Acquisita

• Lee CW
• Yang HY
• Park MH

• KMID: 2362120
• DOI: http://doi.org/10.5021/ad.1989.1.2.73

Abstract

A 40-year-old woman had a pruritic, vesiculobullous eruption of her face for 6 weeks with no evidence of systemic disease. A biopsy showed subepidermal blisters and dermal infiltrates of neutrophilic inflammatory cells. Direct immunofluorescence demonstrated thick linear deposits of IgG and C3 along the basement membrane zone. The cleavage plane was identified to be just beneath the lamina densa. Using Western immunoblots, the patient's IgG autoantibodies were found to recognize type VII proeollagen. Moderate starting doses of systemic prednisolone gave a good response for this patient with an early inflammatory form of epidermolysis bullosa acquisita.

Keyword

Early inflammatory form; Epidermolysis bullosa acquisita

MeSH Terms

Adult
Autoantibodies
Basement Membrane
Biopsy
Blister
Blotting, Western
Epidermolysis Bullosa Acquisita*
Epidermolysis Bullosa*
Female
Fluorescent Antibody Technique, Direct
Humans
Immunoglobulin G
Neutrophils
Prednisolone
Autoantibodies
Immunoglobulin G
Prednisolone