Bullous pemphigoid associated with milia, increased serum IgE, autoantibodies against desmogleins, and refractory treatment in a young patient



Document title: Bullous pemphigoid associated with milia, increased serum IgE, autoantibodies against desmogleins, and refractory treatment in a young patient
Journal: Anais brasileiros de dermatologia
Database: PERIÓDICA
System number: 000415209
ISSN: 0365-0596
Authors: 1
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Institutions: 1Central South University, Third Xiangya Hospital, Changsha, Hunan. China
Year:
Season: Sep-Oct
Volumen: 92
Number: 5
Pages: 120-122
Country: Brasil
Language: Inglés
Document type: Artículo
Approach: Caso clínico, descriptivo
English abstract Bullous pemphigoid is a blistering autoimmune disease characterized by two hemidesmosomal proteins (anti-BP180 and 230). Pemphigus, by contrast, is characterized by two autoantibodies (anti-desmoglein 1 and 3). Coexistence of autoantibodies of bullous pemphigoid and pemphigus in a patient is rare. A 25-year-old male patient was admitted to our hospital, reporting a 3-month history of multiple papules, vesicles, and erosions over an extensive erythema on the entire body. Laboratory tests showed high levels of serum IgE, anti-BP180 antibodies, and anti-desmoglein 1 and 3. Histopathologic and immunopathologic features were characterized by bullous pemphigoid. No improvement was seen with systemic corticosteroid therapy, however, pulse corticosteriod therapy combined with methylprednisolone, immunosuppressants, immunomodulators, and plasmapheresis led to the recovery of his condition with numerous milia
Disciplines: Medicina
Keyword: Dermatología,
Terapéutica y rehabilitación,
Penfigoide ampollar,
IgE,
Miliaria,
Desmogleína
Keyword: Medicine,
Dermatology,
Therapeutics and rehabilitation,
Bullous pemphigoid,
IgE,
Miliaria,
Desmoglein
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