Pemphigus foliaceus with neutrophilic spongiosis evolving to an atypical pemphigus phenotype.

Gabbi, Tatiana Villas Boas; Bernardelli, Isabela M; Santi, Cláudia G; Maruta, Celina W; Kodani, Vanessa; Sotto, Mirian N; Li, Ning; Hilario-Vargas, Julio et al. · J Am Acad Dermatol · 2004

case_report · Level V

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Abstract

A 46-year-old Brazilian man, with initial pustular lesions, neutrophilic spongiosis and subcorneal cleavage evolved to an atypical pemphigus phenotype, with suprabasal acantholysis. Interestingly, his autoantibody profile, tested by immunofluorescence, immunoblotting, enzyme-linked immunosorbent assay, and immunoprecipitation revealed exclusive IgG anti-desmoglein 1 antibodies in all phases of the disease.

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