Intraepithelial autoimmune bullous dermatoses disease activity assessment and therapy

J Am Acad Dermatol. 2021 Jun;84(6):1523-1537. doi: 10.1016/j.jaad.2021.02.073. Epub 2021 Mar 5.

Abstract

Intraepithelial autoimmune blistering dermatoses are a rare group of skin disorders characterized by disruptions of inter-keratinocyte connections within the epidermis through the action of autoantibodies. The second article in this continuing medical education series presents validated disease activity scoring systems, serologic parameters of disease, treatments, and clinical trials for pemphigus and its subtypes.

Keywords: IVIG; Pemphigus Disease Activity Index; azathioprine; dapsone; intraepithelial autoimmune bullous dermatoses; mycophenolate mofetil; paraneoplastic pemphigus/paraneoplastic autoimmune multiorgan syndrome; pemphigus erythematosus; pemphigus foliaceus; pemphigus herpetiformis; pemphigus vulgaris; rituximab.

Publication types

  • Review

MeSH terms

  • Administration, Cutaneous
  • Administration, Oral
  • Autoantibodies / blood*
  • Autoantibodies / immunology
  • Autoimmune Diseases / blood
  • Autoimmune Diseases / diagnosis
  • Autoimmune Diseases / immunology
  • Autoimmune Diseases / therapy*
  • Drug Therapy, Combination / methods
  • Humans
  • Immunologic Factors / therapeutic use*
  • Injections, Intralesional
  • Plasma Exchange*
  • Severity of Illness Index
  • Skin / immunology
  • Skin / pathology
  • Skin Diseases, Vesiculobullous / blood
  • Skin Diseases, Vesiculobullous / diagnosis
  • Skin Diseases, Vesiculobullous / immunology
  • Skin Diseases, Vesiculobullous / therapy*
  • Treatment Outcome

Substances

  • Autoantibodies
  • Immunologic Factors