Korean J Dermatol.  1987 Feb;25(1):103-108.

A Case of Polymorphic Pemphigoid

Abstract

We report herein a case of polymorphic pemphigoid in a 65-year-old woman, who had one-year history of generlized polymorphic eruption with intensely pruritic excoriated vesicobiullous lesions and residual pigmentation. Face and oral mucosa were spared. The skin biopsy specimen showed a subepidermal blister containing many eosinophils. Linear deposition of 1gG and C3 along the basement membrane was noticed on direct irnmunofluorescerice. Polyclonal garnmopathy with a tendency of beta-gamma bridging and increased IgG, IgA and kappachain, was frund on serum protein electrophoresis and immunoelectrophoresis. Skin lesions were well coritrolled by a combined therapy of prednisolone(20 mg/d), dapsone(100 mg/d) and cyclophosphamide(100 mg/d) for 4 months. Direct immunofluorescence performed 11 rnonths after the cnmpletion of the therapy was negative.

Keyword

Polymorphic pemphigoid; Polyclonal gammopathy

MeSH Terms

Aged
Basement Membrane
Biopsy
Blister
Electrophoresis
Eosinophils
Female
Fluorescent Antibody Technique, Direct
Humans
Immunoelectrophoresis
Immunoglobulin A
Immunoglobulin G
Mouth Mucosa
Pemphigoid, Bullous*
Pigmentation
Skin
Immunoglobulin A
Immunoglobulin G
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