Case of linear immunoglobulin A bullous dermatosis associated with acquired hemophilia

被引:10
作者
Arakaki, Osao [1 ]
Yamamoto, Yu-ichi [1 ]
Awazawa, Ryoko [1 ]
Nonaka, Kimiko [1 ]
Taira, Kiyohito [1 ]
Asato, Yutaka [1 ]
Hagiwara, Keisuke [1 ,2 ]
Oyama, Bungo [3 ]
Ishii, Norito [3 ]
Hashimoto, Takashi [3 ]
Uezato, Hiroshi [1 ]
机构
[1] Univ Ryukyus, Fac Med, Sch Med, Dept Organ Related Med,Div Dermatol, Nishihara, Okinawa 90301, Japan
[2] Chuo Dermatol Off, Okinawa, Japan
[3] Kurume Univ, Sch Med, Dept Dermatol, Fukuoka, Japan
关键词
acquired hemophilia; ecchymosis; hematoma; linear immunoglobulin A bullous dermatosis; purpura;
D O I
10.1111/j.1346-8138.2008.00499.x
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Linear immunoglobulin (Ig)A bullous dermatosis is a rare autoimmune subepidermal bullous dermatosis caused by circulating IgA autoantibodies directed against the antigens at the basement membrane zone. Most linear IgA bullous dermatosis cases are idiopathic, but some are associated with the use of certain drugs, infections, lymphoproliferative disorders, internal malignancies, autoimmune disorders, collagen diseases or, very rarely, other skin diseases, including autoimmune bullous diseases. Acquired hemophilia is also rare; it is a coagulation disease caused by anti-factor VIII IgG antibodies. Acquired hemophilia has been reported to be associated with malignant tumors, pregnancy or postpartum, drug reactions, collagen diseases such as rheumatoid arthritis, autoimmune disorders, and skin diseases such as psoriasis and pemphigus. We report a case of hemophilia acquired during the course of linear IgA bullous dermatosis and review reported cases of autoimmune bullous dermatoses associated with acquired hemophilia.
引用
收藏
页码:437 / 446
页数:10
相关论文
共 55 条
[1]   Linear IgA disease: the IgA and IgG response to dermal antigens demonstrates a chiefly IgA response to LAD285 and a dermal 180-kDa protein [J].
Allen, J ;
Wojnarowska, F .
BRITISH JOURNAL OF DERMATOLOGY, 2003, 149 (05) :1055-1058
[2]  
Ando Toshihiko, 1994, Japanese Archives of Internal Medicine, V41, P205
[3]   Successful treatment of acquired factor VIII inhibitor with cyclosporin [J].
Au, WY ;
Lam, CCK ;
Kwong, YL .
HAEMOPHILIA, 2004, 10 (01) :98-100
[4]  
Biron C, 1996, AM J HEMATOL, V51, P250, DOI 10.1002/1096-8652(199603)51:3<250::AID-AJH2830510302>3.0.CO
[5]  
2-L
[6]  
Boggio L N, 2001, Rev Clin Exp Hematol, V5, P389, DOI 10.1046/j.1468-0734.2001.00049.x
[7]   Acquired hemophilia due to factor VIII inhibitors in 34 patients [J].
Bossi, P ;
Cabane, J ;
Ninet, J ;
Dhote, R ;
Hanslik, T ;
Chosidow, O ;
Jouan-Flahault, C ;
Horellou, MH ;
Leynadier, F ;
Liozon, E ;
Pouchot, J ;
Robin, JP ;
Sanderson, F ;
Schaeffer, A ;
Sicard, D ;
Staikowsky, F ;
Wechsler, B ;
Zittoun, R .
AMERICAN JOURNAL OF MEDICINE, 1998, 105 (05) :400-408
[8]  
BOUVRY P, 1994, HAEMATOLOGICA, V79, P550
[9]  
CHORZELSKI TP, 1979, IMMUNOPATHOLOGY SKIN, P315
[10]   Acquired inhibitors [J].
Cohen, AJ ;
Kessler, CM .
BAILLIERES CLINICAL HAEMATOLOGY, 1996, 9 (02) :331-354