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2017, Number 2

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Med Cutan Iber Lat Am 2017; 45 (2)

IgA Pemphigus the intraepidermal neutrophil dermatosis variant

Bosio BM, Bonetto V, Juárez-Villanueva L, Valente E, Ruiz-Lascano A, Kurpis M
Full text How to cite this article

Language: Spanish
References: 6
Page: 165-168
PDF size: 398.06 Kb.


Key words:

IgA intraepidermal neutrophilic dermatosis, IgA intraepidemic pemphigus, IgA pemphigus.

ABSTRACT

Pemphigus by IgA is blistering dermatosis, characterized by the deposition of IgA in the intercellular spaces of the epidermal keratinocytes. It occurs in adults and elderly with a slight predominance in women. The subcorneal type: flaccid vesicles and erythematous base pustules, and the intraepidermal IgA type: erythematous and exudative lesions, pustular border «in sunflower», are recognized in two types of IgA pemphigus according to histology and clinical practice. The definitive diagnosis is confirmed by histopathology and direct immunofluorescence. The first line treatment is dapsone, and presents chronic evolution. The following is a case of a 64-year-old male patient diagnosed with intraepidermal variant IgA pemphigus.


REFERENCES

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  2. Tsuruta D, Ishii N, Hamada T, Ohyama B, Fukuda S, Koga H et al. IgA pemphigus. Clin Dermatol. 2011; 29 (4): 437-442.

  3. Geller S, Gat A, Zeeli T, Hafner A, Eming R, Hertl M et al. The expanding spectrum of IgA pemphigus: a case report and review of the literature. Br J Dermatology. 2014; 171 (3): 650-656.

  4. Tajima M, Mitsuhashi Y, Irisawa R, Amagai M, Hashimoto T, Tsuboi R. IgA pemphigus reacting exclusively to desmoglein 3. Eur J Dermatol. 2010; 20 (5): 626-629.

  5. Howell SM, Bessinger GT, Altman CE, Belnap CM. Rapid response of IgA pemphigus of the subcorneal pustular dermatosis subtype to treatment with adalimumab and mycophenolate mofetil. J Am Acad Dermatol. 2005; 53 (3): 540-543.

  6. Puigserver MN, Rocamora V, Matanza I. A propósito de un caso de pénfi go IgA, variante dermatosis neutrofílica intraepidérmica. Medicina Cutánea Ibero-latino-americana. 2015; 43 (2): 149-152.




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C?MO CITAR (Vancouver)

Med Cutan Iber Lat Am. 2017;45