Oral and genital lichenoid reactions associated with circulating autoantibodies to desmoplakins I and II: a novel target antigen or example of epitope spreading?

Oyama, Noritaka; Setterfield, Jane F; Gratian, Matthew J; Bhogal, Balbir S; Shirlaw, Pepe; Challacombe, Stephen J; Black, Martin M · J Am Acad Dermatol · 2003

case_report · Level V

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Abstract

We describe the first reported case of persistent oral and genital lichenoid reactions associated with circulating antibodies to 250- and 215-kd proteins, compatible with desmoplakin I and II, respectively. We discuss the potential role of epitope spreading, leading to the novel development of specific autoantibodies to desmoplakin.

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