Linear IgA bullous dermatosis in a patient with renal cell carcinoma.

van der Waal, R I; van de Scheur, M R; Pas, H H; Jonkman, M F; Van Groeningen, C J; Nieboer, C; Starink, T M · Br J Dermatol · 2001

case_report · Level V

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Abstract

Linear IgA bullous dermatosis (LABD) is an autoimmune subepidermal bullous disease with heterogeneous clinical manifestations, characterized by linear deposition of IgA along the epidermal basement membrane zone. We report a patient with a metastasized renal cell carcinoma who developed an extensive blistering eruption. The lesions showed immunopathological findings characteristic of LABD. The patient showed a fair response to prednisolone and dapsone. Treatment to control the LABD was no longer required when interferon-alfa was started as palliative therapy for the metastasized renal cell carcinoma. The association of LABD and malignancies has been documented before and is not due to mere chance alone.

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