CombinedCase of Anti-laminin <i>γ</i>1 Pemphigoidand Anti-laminin 332 Mucous Membrane Pemphigoid
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- Iwatsu Riyo
- Department of Dermatology, Kindai University Faculty of Medicine
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- Sato Masako
- Department of Dermatology, Kindai University Faculty of Medicine
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- Kato Maiko
- Department of Dermatology, Kindai University Faculty of Medicine
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- Yanagihara Shigeto
- Department of Dermatology, Kindai University Faculty of Medicine
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- Oiso Naoki
- Department of Dermatology, Kindai University Faculty of Medicine
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- Tateishi Chiharu
- Department of Dermatology, Osaka City University Graduate School of Medicine
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- Hashimoto Takashi
- Department of Dermatology, Osaka City University Graduate School of Medicine
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- Tsuruta Daisuke
- Department of Dermatology, Osaka City University Graduate School of Medicine
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- Kawada Akira
- Department of Dermatology, Kindai University Faculty of Medicine
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- Otsuka Atsushi
- Department of Dermatology, Kindai University Faculty of Medicine
Bibliographic Information
- Other Title
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- 抗ラミニン <i>γ</i>1 類天疱瘡と抗ラミニン332型 粘膜類天疱瘡を合併した 1 例
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Abstract
<p>A 77-year-oldman was referredto us because of a one-week history of erosions on the lips, oral cavity, andpenis, andnumerous erythemas andblisters on the trunk andextremities. Chemiluminescent enzyme immunoassays did not detect anti-BP180-NC16A domain autoantibodies or anti-desmoglein 1 and 3 autoantibodies. Histopathological examination showed subepidermal bullae with infiltration of eosinophils andneutrophils. Direct immunofluorescence detected linear deposition of C3 at the basement membrane zone (BMZ). Indirect immunofluorescence using normal skin as substrate showed IgG anti-BMZ antibodies, which reacted with the dermal side of 1M NaCl-split skin. Immunoblotting with normal human dermal extract detected 200 kDa laminin γ1 (p200), andimmunoblotting with laminin 332 recombinant proteins detected165kDa laminin α3. We made a diagnosis of coexistence of anti-laminin γ1 pemphigoidandanti-laminin 332 mucous membrane pemphigoid. Intravenous administration of prednisolone led to quick improvement of the mucocutaneous lesions. Our findings suggest the need to establish more convenient strategies for the diagnosis of both anti-laminin γ1 pemphigoidanti-laminin 332 mucous membrane pemphigoidfor differential diagnosis and appropriate treatments for these diseases. Skin Research, 21 : 126-132, 2022 </p>
Journal
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- Hifu no kagaku
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Hifu no kagaku 21 (2), 126-132, 2022
Meeting of Osaka Dermatological Association/Meeting of Keiji Dermatological Association
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Keywords
Details 詳細情報について
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- CRID
- 1390574798850776832
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- ISSN
- 18839614
- 13471813
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- Text Lang
- ja
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- Data Source
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- JaLC
- KAKEN
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- Abstract License Flag
- Disallowed