Cutaneous pemphigus vulgaris with skin features similar to the classic mucocutaneous type: a case report and review of the literature

被引:16
作者
Shinkuma, S. [1 ]
Nishie, W. [1 ]
Shibaki, A. [1 ]
Sawamura, D. [2 ]
Ito, K. [1 ]
Tsuji-Abe, Y. [1 ]
Natsuga, K. [1 ]
Chan, P. T. [3 ]
Amagai, M. [3 ]
Shimizu, H. [1 ]
机构
[1] Hokkaido Univ, Grad Sch Med, Dept Dermatol, Kita Ku, Sapporo, Hokkaido, Japan
[2] Hirosaki Univ, Grad Sch Med, Dept Dermatol, Aomori, Japan
[3] Keio Univ, Sch Med, Dept Dermatol, Shinjuku Ku, Tokyo, Japan
关键词
D O I
10.1111/j.1365-2230.2008.02871.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Pemphigus vulgaris (PV) is a life-threatening autoimmune blistering skin disease that specifically involves oral mucosa. It was recently shown that a very small number of patients with PV show no mucous membrane involvement although they have circulating autoantibodies directed against both desmoglein (Dsg)1 and Dsg3 that are associated with histopathological suprabasal acantholysis. These cases are classed as cutaneous-type PV. We report here a case of cutaneous-type PV that occurred in a 50-year-old man. Clinical examination revealed numerous tense and spreading blisters and erosions over the patient's entire body, similar to the classic mucocutaneous-type PV. Interestingly, none of the previously reported patients with cutaneous PV had shown skin features like those of mucocutaneous PV, whereas the present case clearly demonstrated very typical clinical features similar to those in mucocutaneous PV.
引用
收藏
页码:724 / 728
页数:5
相关论文
共 10 条
[1]   ANTIGEN-SPECIFIC IMMUNOADSORPTION OF PATHOGENIC AUTOANTIBODIES IN PEMPHIGUS FOLIACEUS [J].
AMAGAI, M ;
HASHIMOTO, T ;
GREEN, KJ ;
SHIMIZU, N ;
NISHIKAWA, T .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1995, 104 (06) :895-901
[2]  
Amagai M, 1999, BRIT J DERMATOL, V140, P351
[3]   ABSORPTION OF PATHOGENIC AUTOANTIBODIES BY THE EXTRACELLULAR DOMAIN OF PEMPHIGUS-VULGARIS ANTIGEN (DSG3) PRODUCED BY BACULOVIRUS [J].
AMAGAI, M ;
HASHIMOTO, T ;
SHIMIZU, N ;
NISHIKAWA, T .
JOURNAL OF CLINICAL INVESTIGATION, 1994, 94 (01) :59-67
[4]  
CHORZELSKI TP, 1995, EUR J DERMATOL, V5, P386
[5]   Mucosal and mucocutaneous (generalized) pemphigus vulgaris show distinct autoantibody profiles [J].
Ding, X ;
Aoki, V ;
Mascaro, JM ;
LopezSwiderski, A ;
Diaz, LA ;
Fairley, JA .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1997, 109 (04) :592-596
[6]   Unusual pemphigus phenotype in the presence of a Dsg1 and Dsg3 autoantibody profile [J].
Müller, E ;
Kernland, K ;
Caldelari, R ;
Wyder, M ;
Balmer, V ;
Hunziker, T .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 2002, 118 (03) :551-555
[7]   Pemphigus vulgaris with no mucosal lesions showing pemphigus-foliaceus-like skin manifestations: Is there a 'cutaneous type' of pemphigus vulgaris? [J].
Nagasaka, A ;
Matsue, H ;
Miyahara, A ;
Shimada, S .
DERMATOLOGY, 2005, 211 (04) :372-374
[8]   Lack of mucosal involvement in pemphigus foliaceus may be due to low expression of desmoglein 1 [J].
Shirakata, Y ;
Amagai, M ;
Hanakawa, Y ;
Nishikawa, T ;
Hashimoto, K .
JOURNAL OF INVESTIGATIVE DERMATOLOGY, 1998, 110 (01) :76-78
[9]   DISTINCTION BETWEEN EPIDERMAL ANTIGENS BINDING PEMPHIGUS VULGARIS AND PEMPHIGUS FOLIACEUS AUTOANTIBODIES [J].
STANLEY, JR ;
KOULU, L ;
THIVOLET, C .
JOURNAL OF CLINICAL INVESTIGATION, 1984, 74 (02) :313-320
[10]   Cutaneous type pemphigus vulgaris: A rare clinical phenotype of pemphigus [J].
Yoshida, K ;
Takae, Y ;
Saito, H ;
Oka, H ;
Tanikawa, A ;
Amagai, M ;
Nishikawa, T .
JOURNAL OF THE AMERICAN ACADEMY OF DERMATOLOGY, 2005, 52 (05) :839-845