Medicine
Volume 37, Issue 6 , Pages 291-297, June 2009

Autoimmune and other blistering diseases

Kathy Taghipour MBBS MRCP is a Specialist Registrar in the Oxford Deanery, Oxford, UK. Competing interests: none declared

Fenella Wojnarowska MA DM FRCP is Professor of Dermatology at the University of Oxford and Consultant Dermatologist at the Oxford Radcliffe Hospital, Oxford, UK. Competing interests: none declared

Abstract 

There is a wide range of conditions associated with blisters (bullae) and it is important to identify the cause in each patient. If an autoimmune cause or epidemolysis bullosa is suspected, a biopsy will be required to determine whether the bulla is intra-epidermal or subepidermal. The diagnostic gold standard for autoimmune diseases is immunofluorescence which enables detection of autoantibodies and their location.

Keywords: basement membrane zone, dermatitis herpetiformis, desmosome, epidermolysis bullosa, hemidesmosome, immunobullous, immunofluorescence, linear IgA, pemphigoid, pemphigus

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  • 1 Examination of the whole body is essential.

PII: S1357-3039(09)00062-0

doi:10.1016/j.mpmed.2009.02.011

Medicine
Volume 37, Issue 6 , Pages 291-297, June 2009