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Chronic Bullous Dermatosis of Childhood: Linear IgA Bullous Dermatosis

Chronic Bullous Dermatosis of Childhood: Linear IgA Bullous Dermatosis Abstract • A 2½-year-old boy had large, tense bullae on the groin, buttocks, legs, and abdomen. A subepidermal vesicle was seen on histological study. Immunofluorescent studies revealed linear IgA at the basement membrane zone. There was no associated gastrointestinal abnormality or any other systemic feature. The patient responded dramatically to sulfapyridine. He has had no recurrence of the disease and negative immunofluorescence study results during two years of follow-up. (Am J Dis Child 1982;136:214-217) References 1. Bean SF, Jordon RE: Chronic nonheriditary blistering disease in children . Arch Dermatol 1974;110:941-944.Crossref 2. Jordon RE, Bean SF, Triftshauger CT, et al: Childhood bullous dermatitis herpetiformis . Arch Dermatol 1970;101:629-634.Crossref 3. Esterly NB, Gurvey NL, Kirschner BS, et al: Chronic bullous dermatosis of childhood . Arch Dermatol 1977;113:42-46.Crossref 4. Prystowsky S, Gilliam JN: Benign chronic bullous dermatosis of childhood . Arch Dermatol 1976;112:837-839.Crossref 5. Bean SF, Furey NL, Chorzelski TP, et al: Childhood form of linear IgA bullous dermatosis , in Buetner EH (ed): Immunopathology of the Skin . New York, John Wiley & Sons Inc, 1979, pp 320-322. 6. Hertz DC, Katz SI, Aaronsen C: Juvenile dermatitis herpetiformis: An immunologically proven case . Pediatrics 1977;59:945-948. 7. Van der Meer JB: Granular deposits of immunoglobulins in the skin of patients with dermatitis herpetiformis: An immunofluorescent study . Br J Dermatol 1969;81:493-503.Crossref 8. Jordon RE, Triftshauser CT, Schroeter AL: Direct immunofluorescent studies of pemphigus and bullous phemphigoid . Arch Dermatol 1971;103:486-491.Crossref 9. Ahmed AR, Maize JC, Provost TT: Bullous pemphigoid: Clinical and immunologic follow-up after successful therapy . Arch Dermatol 1977;113:1043-1046.Crossref 10. Cormane RH, Gianetti A: IgD in various dermatoses: Immunofluorescence studies . Br J Dermatol 1971;84:523.Crossref 11. Provost TT, Tomasi TB Jr: Immunopathology of bullous pemphigoid: Basement membrane deposition of IgE, alternative pathway components and fibrin . Clin Exp Immunol 1974;18:193. 12. Beutner EH, Jordon RE, Chorzelski TP Immunopathology of pemphigus and bullous pemphigoid . J Invest Dermatol 1968;51:63-80.Crossref 13. Yaoita H, Katz SI: Circulating IgA antibasement membrane antibodies in dermatitis herpetiformis . J Invest Dermatol 1977;69:558-560.Crossref 14. Van der Meer JB, Remme JJ, Nefkens MJJ, et al: IgA antibasement membrane antibodies in a boy with pemphigoid . Arch Dermatol 1977;113:1462-1465.Crossref 15. Pehamberger H, Konrad K, Holubar K: Circulating IgA antibasement membrane antibodies in linear dermatitis herpetiformis during IF and immunoelectronmicroscopic studies . J Invest Dermatol 1977;59:490-494.Crossref 16. Provost TT: Dermatologic diseases , in Fudenberg HH, Sites DP, Caldwell JL, et al(eds): Basic and Clinical Immunology . Los Altos, Calif, Lange Medical Publications, 1980, p 596. 17. Lawley TJ, Strober W, Yaoita H, et al: Small intestinal biopsies and HLA types in dermatitis herpetiformis patients with granular and linear IgA skin deposit . J Invest Dermatol 1980;74:9-12.Crossref 18. Jablonska S, Chorzelski T, Beutner EH, et al: Juvenile dermatitis herpetiformis in the light of immunofluorescence studies . Br J Dermatol 1971;85:307-313.Crossref 19. Katz SI, Strober W: The pathogenesis of dermatitis herpetiformis . J Invest Dermatol 1978;70:63-75.Crossref 20. Jones RR, Goolamali SK: IgA bullous pemphigoid: A distinct blistering disorder . Br J Dermatol 1980;102:719-725.Crossref 21. Chorzelski TP, Jablonska S, Beutner EH, et al: Juvenile dermatitis herpetiformis vs 'benign chronic bullous dermatosis of childhood': Are these immunologic diseases? J Invest Dermatol 1975;65:447-450.Crossref 22. Lang PG: Sulfones and sulfonamides in dermatology today . J Am Acad Dermatol 1979;1:479-492.Crossref 23. Piamphorgsant T, Ausawanongkonpan S: Bullous pemphigoid controlled by dapsone . Dermatologica 1976;152:352-357.Crossref 24. Person JR, Rogers RS: Bullous and cicatricial pemphigoid: Clinical, histopathologic, and immunopathologic correlations . Mayo Clin Proc 1977;52:54-66. 25. Yaoita H, Katz SI: Immunoelectronmicroscopic localization of IgA in skin of patients with dermatitis herpetiformis . J Invest Dermatol 1976;67:502-506.Crossref 26. Dabrowski J, Chorzelsk TP, Jablonska S, et al: The ultrastructural localization of IgA in skin of a patient with mixed form of dermatitis herpetiformis and bullous pemphigoid . J Invest Dermatol 1978;70:76-80.Crossref 27. Holubar K, Wolff K, Konrad K, et al: Ultrastructural localization of immunoglobulins in bullous pemphigoid skin: Employment of a new peroxidase-antiperoxidase multistep method . J Invest Dermatol 1975;64:220-225.Crossref 28. Chorzelski TP, Jablonska S: Linear IgA dermatosis of childhood (chronic bullous dermatosis of childhood) . Br J Dermatol 1979;101:535-542.Crossref 29. Ramsdell W, Jaratt M, Feurst J, et al: Bullous disease of childhood . Am J Dis Child 1979;133:791-794. 30. Ahmed AR, Cohen E, Blumenson LE, et al: HLA in bullous pemphigoid . Arch Dermatol 1977;113:1121.Crossref 31. McGuire J, Nordland J: Bullous disease of childhood . Arch Dermatol 1973;108:284-285. 32. Feuerman GJ, Metzker A, Varsano I: Dermatitis herpetiformis in childhood . J Israel Med Assoc 1975;88:114-118. 33. Faber WR, van Joost TH: Juvenile pemphigoid . Br J Dermatol 1973;89:519-522.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Chronic Bullous Dermatosis of Childhood: Linear IgA Bullous Dermatosis

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References (39)

Publisher
American Medical Association
Copyright
Copyright © 1982 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1982.03970390028009
Publisher site
See Article on Publisher Site

Abstract

Abstract • A 2½-year-old boy had large, tense bullae on the groin, buttocks, legs, and abdomen. A subepidermal vesicle was seen on histological study. Immunofluorescent studies revealed linear IgA at the basement membrane zone. There was no associated gastrointestinal abnormality or any other systemic feature. The patient responded dramatically to sulfapyridine. He has had no recurrence of the disease and negative immunofluorescence study results during two years of follow-up. (Am J Dis Child 1982;136:214-217) References 1. Bean SF, Jordon RE: Chronic nonheriditary blistering disease in children . Arch Dermatol 1974;110:941-944.Crossref 2. Jordon RE, Bean SF, Triftshauger CT, et al: Childhood bullous dermatitis herpetiformis . Arch Dermatol 1970;101:629-634.Crossref 3. Esterly NB, Gurvey NL, Kirschner BS, et al: Chronic bullous dermatosis of childhood . Arch Dermatol 1977;113:42-46.Crossref 4. Prystowsky S, Gilliam JN: Benign chronic bullous dermatosis of childhood . Arch Dermatol 1976;112:837-839.Crossref 5. Bean SF, Furey NL, Chorzelski TP, et al: Childhood form of linear IgA bullous dermatosis , in Buetner EH (ed): Immunopathology of the Skin . New York, John Wiley & Sons Inc, 1979, pp 320-322. 6. Hertz DC, Katz SI, Aaronsen C: Juvenile dermatitis herpetiformis: An immunologically proven case . Pediatrics 1977;59:945-948. 7. Van der Meer JB: Granular deposits of immunoglobulins in the skin of patients with dermatitis herpetiformis: An immunofluorescent study . Br J Dermatol 1969;81:493-503.Crossref 8. Jordon RE, Triftshauser CT, Schroeter AL: Direct immunofluorescent studies of pemphigus and bullous phemphigoid . Arch Dermatol 1971;103:486-491.Crossref 9. Ahmed AR, Maize JC, Provost TT: Bullous pemphigoid: Clinical and immunologic follow-up after successful therapy . Arch Dermatol 1977;113:1043-1046.Crossref 10. Cormane RH, Gianetti A: IgD in various dermatoses: Immunofluorescence studies . Br J Dermatol 1971;84:523.Crossref 11. Provost TT, Tomasi TB Jr: Immunopathology of bullous pemphigoid: Basement membrane deposition of IgE, alternative pathway components and fibrin . Clin Exp Immunol 1974;18:193. 12. Beutner EH, Jordon RE, Chorzelski TP Immunopathology of pemphigus and bullous pemphigoid . J Invest Dermatol 1968;51:63-80.Crossref 13. Yaoita H, Katz SI: Circulating IgA antibasement membrane antibodies in dermatitis herpetiformis . J Invest Dermatol 1977;69:558-560.Crossref 14. Van der Meer JB, Remme JJ, Nefkens MJJ, et al: IgA antibasement membrane antibodies in a boy with pemphigoid . Arch Dermatol 1977;113:1462-1465.Crossref 15. Pehamberger H, Konrad K, Holubar K: Circulating IgA antibasement membrane antibodies in linear dermatitis herpetiformis during IF and immunoelectronmicroscopic studies . J Invest Dermatol 1977;59:490-494.Crossref 16. Provost TT: Dermatologic diseases , in Fudenberg HH, Sites DP, Caldwell JL, et al(eds): Basic and Clinical Immunology . Los Altos, Calif, Lange Medical Publications, 1980, p 596. 17. Lawley TJ, Strober W, Yaoita H, et al: Small intestinal biopsies and HLA types in dermatitis herpetiformis patients with granular and linear IgA skin deposit . J Invest Dermatol 1980;74:9-12.Crossref 18. Jablonska S, Chorzelski T, Beutner EH, et al: Juvenile dermatitis herpetiformis in the light of immunofluorescence studies . Br J Dermatol 1971;85:307-313.Crossref 19. Katz SI, Strober W: The pathogenesis of dermatitis herpetiformis . J Invest Dermatol 1978;70:63-75.Crossref 20. Jones RR, Goolamali SK: IgA bullous pemphigoid: A distinct blistering disorder . Br J Dermatol 1980;102:719-725.Crossref 21. Chorzelski TP, Jablonska S, Beutner EH, et al: Juvenile dermatitis herpetiformis vs 'benign chronic bullous dermatosis of childhood': Are these immunologic diseases? J Invest Dermatol 1975;65:447-450.Crossref 22. Lang PG: Sulfones and sulfonamides in dermatology today . J Am Acad Dermatol 1979;1:479-492.Crossref 23. Piamphorgsant T, Ausawanongkonpan S: Bullous pemphigoid controlled by dapsone . Dermatologica 1976;152:352-357.Crossref 24. Person JR, Rogers RS: Bullous and cicatricial pemphigoid: Clinical, histopathologic, and immunopathologic correlations . Mayo Clin Proc 1977;52:54-66. 25. Yaoita H, Katz SI: Immunoelectronmicroscopic localization of IgA in skin of patients with dermatitis herpetiformis . J Invest Dermatol 1976;67:502-506.Crossref 26. Dabrowski J, Chorzelsk TP, Jablonska S, et al: The ultrastructural localization of IgA in skin of a patient with mixed form of dermatitis herpetiformis and bullous pemphigoid . J Invest Dermatol 1978;70:76-80.Crossref 27. Holubar K, Wolff K, Konrad K, et al: Ultrastructural localization of immunoglobulins in bullous pemphigoid skin: Employment of a new peroxidase-antiperoxidase multistep method . J Invest Dermatol 1975;64:220-225.Crossref 28. Chorzelski TP, Jablonska S: Linear IgA dermatosis of childhood (chronic bullous dermatosis of childhood) . Br J Dermatol 1979;101:535-542.Crossref 29. Ramsdell W, Jaratt M, Feurst J, et al: Bullous disease of childhood . Am J Dis Child 1979;133:791-794. 30. Ahmed AR, Cohen E, Blumenson LE, et al: HLA in bullous pemphigoid . Arch Dermatol 1977;113:1121.Crossref 31. McGuire J, Nordland J: Bullous disease of childhood . Arch Dermatol 1973;108:284-285. 32. Feuerman GJ, Metzker A, Varsano I: Dermatitis herpetiformis in childhood . J Israel Med Assoc 1975;88:114-118. 33. Faber WR, van Joost TH: Juvenile pemphigoid . Br J Dermatol 1973;89:519-522.Crossref

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Mar 1, 1982

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