INTRAEPIDERMAL NEUTROPHILIC IGA DERMATOSIS

被引:27
作者
KUAN, YZ [1 ]
CHIOU, HT [1 ]
CHANG, HC [1 ]
CHAN, HL [1 ]
KUO, TT [1 ]
机构
[1] CHANG GUNG MEM HOSP,CHANG GUNG MED COLL,DEPT PATHOL,TAIPEI,TAIWAN
关键词
D O I
10.1016/0190-9622(90)70125-2
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
We report a patient with a vesiculopustular eruption with features distinct from typical subcorneal pustular dermatosis. Clinically, well-formed pustular lesions, which were flowerlike in appearance, were present. Histopathologically, early vesicular lesions showed intraepidermal bullae containing numerous neutrophils, a few eosinophils, and acanthc-lytic cells. Direct immunofluorescence study revealed IgA deposits in the intercellular space of the epidermis. The patient's serum, however, did not contain circulating antibodies reactive with the epidermis. We consider this eruption an immunologically mediated, intraepidermal blistering disease, similar to intraepidermal neutrophilic IgA dermatosis. © 1990, American Academy of Dermatology, Inc.. All rights reserved.
引用
收藏
页码:917 / 919
页数:3
相关论文
共 8 条
[1]   IMMUNOPATHOLOGY OF PEMPHIGUS AND BULLOUS PEMPHIGOID [J].
BEUTNER, EH ;
JORDON, RE ;
CHORZELSKI, TP .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1968, 51 (02) :63-+
[2]   SUBCORNEAL PUSTULAR DERMATOSIS AND IGA GAMMOPATHY [J].
BURROWS, D ;
BINGHAM, EA .
BRITISH JOURNAL OF DERMATOLOGY, 1984, 111 :91-93
[3]   INTERCELLULAR IGA DERMATOSIS WITH CLINICAL-FEATURES OF SUBCORNEAL PUSTULAR DERMATOSIS [J].
HASHIMOTO, T ;
INAMOTO, N ;
NAKAMURA, K ;
NISHIKAWA, T .
ARCHIVES OF DERMATOLOGY, 1987, 123 (08) :1062-1065
[4]   INTRAEPIDERMAL NEUTROPHILIC IGA DERMATOSIS [J].
HUFF, JC ;
GOLITZ, LE ;
KUNKE, KS .
NEW ENGLAND JOURNAL OF MEDICINE, 1985, 313 (26) :1643-1645
[5]   SUB-CORNEAL PUSTULAR DERMATOSIS [J].
SNEDDON, IB ;
WILKINSON, DS .
BRITISH JOURNAL OF DERMATOLOGY, 1979, 100 (01) :61-68
[6]   SUBCORNEAL PUSTULAR DERMATOSIS WITH VESICULO-BULLOUS ERUPTION - DEMONSTRATION OF SUBCORNEAL IGA DEPOSITS AND A LEUKOCYTE CHEMOTACTIC FACTOR [J].
TAGAMI, H ;
IWATSUKI, K ;
IWASE, Y ;
YAMADA, M .
BRITISH JOURNAL OF DERMATOLOGY, 1983, 109 (05) :581-587
[7]  
WALLACH D, 1986, NEW ENGL J MED, V315, P66
[8]   SUB-CORNEAL PUSTULAR DERMATOSIS AND MONOCLONAL IGA [J].
WALLACH, D ;
COTTENOT, F ;
PELBOIS, G ;
CAVELIER, B ;
DIDIERJEAN, L ;
SAURAT, JH .
BRITISH JOURNAL OF DERMATOLOGY, 1982, 107 (02) :229-234