["Decoratively figured blisters" on the whole integument in initially diagnosed ulcerative colitis]

Hautarzt. 2019 Mar;70(3):210-214. doi: 10.1007/s00105-018-4314-3.
[Article in German]

Abstract

The rare case of a 61-year-old patient suffering from linear IgA dermatosis is presented. The patient was previously hospitalized with chronic inflammatory bowel disease. The correct diagnosis of the disease was based on clinical and histological findings. Serological methods, such as indirect immunofluorescence, ELISA and immunoblotting are suitable for identification of the autoantibodies. In this case the detection of IgA antibodies along the basal membrane was achieved by direct immunofluorescence. Other bullous dermatoses with similar symptoms, such as an IgG-mediated bullous pemphigoid have to be excluded. The therapy of linear IgA dermatosis is ensured by steroid-containing topical agents, alongside antiseptic measures as well as systemic dapsone p.o.

Keywords: Autoantibodies; Case report; Chronic inflammatory bowel disease; Direct immunofluorescence; Linear IgA dermatosis.

Publication types

  • Case Reports

MeSH terms

  • Autoantibodies / blood*
  • Autoantibodies / immunology
  • Blister / drug therapy
  • Blister / immunology*
  • Blister / pathology
  • Colitis, Ulcerative / diagnosis
  • Fluorescent Antibody Technique, Direct
  • Glucocorticoids / administration & dosage
  • Humans
  • Immunoglobulin A / blood*
  • Immunoglobulin A / immunology
  • Linear IgA Bullous Dermatosis / diagnosis*
  • Linear IgA Bullous Dermatosis / drug therapy
  • Linear IgA Bullous Dermatosis / immunology
  • Male
  • Middle Aged
  • Prednisolone / administration & dosage
  • Treatment Outcome

Substances

  • Autoantibodies
  • Glucocorticoids
  • Immunoglobulin A
  • Prednisolone