Abstract |
Pemphigus vulgaris (PV) is an autoimmune blistering disease elicited by anti- desmoglein (DsG) 3 antibody. Although skin lesions tend to be distributed over the entire body, in some patients, they are confined to a restricted area. We report two patients who presented with long-lasting localized PV without detectable anti-DsG antibodies after suffering antibody-positive systemic PV. Initial treatment with prednisolone (PSL) was successful in both patients, but a local relapse occurred on the cheek or lower lip after a reduction in the PSL dose. Biopsy of the localized lesions showed suprabasal acantholysis; no serum DsG antibodies were found. Local immunosuppression therapy was effective in both patients. Based on our findings, we suggest that localized PV without detectable antibodies can develop after systemic PV.
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Authors | Asuka Yoshifuku, Kazuyasu Fujii, Hisao Kawahira, Hiromi Katsue, Atsunori Baba, Yuko Higashi, Yumi Aoyama, Takuro Kanekura |
Journal | Indian journal of dermatology
(Indian J Dermatol)
2016 Jul-Aug
Vol. 61
Issue 4
Pg. 427-9
ISSN: 1998-3611 [Electronic] India |
PMID | 27512189
(Publication Type: Journal Article)
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