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Lichen Planus Pemphigoides: Immunofluorescence Findings

Lichen Planus Pemphigoides: Immunofluorescence Findings Abstract • A 56-year-old woman developed a vesicular and bullous eruption followed by an efflorescence of lichenoid papules. The clinical and histologic features of this case were consistent with a diagnosis of lichen planus pemphigoides. Direct and indirect immunofluorescence studies demonstrated both in vivo-bound and circulating IgG with specificity for the epidermal basement membrane zone. A common pathogenic immunologic mechanism may exist for both lichen planus and lichen planus pemphigoides, which we believe are clinical variants of a similar disease process. (Arch Dermatol 112:1280-1283, 1976) References 1. Arndt KA: Lichen planus , in Fitzpatrick TB, Arndt KA, Clark WH, et al (eds): Dermatology in General Medicine . New York, McGraw-Hill Book Co, Inc, 1971, pp 728-735. 2. Altman J, Perry HO: The variations and course of lichen planus . Arch Dermatol 84:179-191, 1961.Crossref 3. Kaposi M: Lichen ruber pemphigoides . Arch Dermatol Syphilol 24:343-346, 1892.Crossref 4. Feuerman E, Sandbank M: Lichen planus pemphigoides with extensive melanosis . Arch Dermatol 104:61-67, 1971.Crossref 5. Beutner EH, Chorzelski TP, Jordan RE: Autosensitization in Pemphigus and Bullous Pemphigoid . Springfield, Ill, Charles C Thomas Publisher, 1970. 6. Bystryn JC, Able W, Weidman A: Antibodies against the cytoplasm of human epidermal cells . Arch Dermatol 108:241-244, 1973.Crossref 7. Crocker HR: Lichen planus: its variations, relations and imitations . Br J Dermatol 12:421-449, 1900. 8. Schreiner K: Lichen ruber pemphigoides und lichen ruber vesiculosus . Arch Dermatol Syphilol 161:647-657, 1930.Crossref 9. Strauss MJ: Vesicular and bullous lichen planus . Acta Derm Venereol 14:447-472, 1933. 10. Pautrier LM: Lichen plan complique d'eruption bulleuse (association de lichen plan et de dermatite polymorphe de Duhring-Brocq? ou lichen ruber pemphigoide?) Bull Soc Fr Dermatol Syphiligr 40:1137-1144, 1933. 11. Blair DS: Lichen planus pemphigoides: Report of a case and discussion of the literature . Arch Dermatol Syphilol 58:138-148, 1948.Crossref 12. Sarkany I, Caron GA, Jones HH: Lichen planus pemphigoides . Trans St John Hosp Dermatol Soc 50:50-55, 1964. 13. Diaz LFA: Lichen plan bulleux . Ann Dermatol Syphilol 97:39-48, 1970. 14. Samman PD: Lichen planus and lichenoid eruptions , in Rook A, Wilkinson DS, Ebling FJG (eds): Textbook of Dermatology , ed 2. Philadelphia, FA Davis Co, 1972, pp 1342-1343. 15. Schwartz B: Lichen planus pemphigoides . Proc R Soc Med 48:445-447, 1954. 16. Bologa EI, Valda F: In ruckbildung begriffener lichen ruber planus mit nachfolgender dermatitis herpetiformis Duhring . Dermatol Monatsschr 157:447-452, 1971. 17. Grupper C, Bourgeois-Spinasse J, Buisson J: Maladie de Duhring-Brocq suivie de lichen plan ou associee . Bull Soc Fr Dermatol Syphiligr 79:211-212, 1972. 18. Ueki H: Hyaline bodies in subepidermal papillae . Arch Dermatol 100:610-617, 1969.Crossref 19. Michel B, Sy EK, David K, et al: Immunofluorescent studies in lichen planus , abstracted. J Invest Dermatol 54:428, 1970. 20. Ebner H, Kraft D: Fibrinblagerungen beim lichen ruber planus . Arch Dermatol Forsch 243:305-317, 1972.Crossref 21. Ebner H, Kraft D: Fibrinnachweis mit einem enzymantiserum konjugat beim lichen ruber planus . Dermatologica 146:101-106, 1973.Crossref 22. Baart De La Faille-Kuyper EH, Baart De La Faille H: An immunofluorescence study of lichen planus . Br J Dermatol 90:365-371, 1974.Crossref 23. Baart De La Faille-Kuyper EH: Immunohistochemisch onderzoek bij lichen ruber . Ned T Geneesk 117:473, 1973. 24. Cram DL, Kierland RR, Winkelmann RK: Ulcerative lichen planus of the feet . Arch Dermatol 93:692-701, 1966.Crossref 25. Midana A, Zina G: Lichen pemphigoides: A paraneoplastic dermatosis? Ital Gen Rev Dermatol 9:9, 1969. 26. Magnusson B: Lichen ruber and sympathicoblastoma . Acta Derm Venereol 35:73, 1955. 27. Tan RSH: Ulcerative colitis, myasthenia gravis, atypical lichen planus, alopecia areata, vitiligo . Proc R Soc Med 67:195-196, 1973. 28. Tan RSH: Thymoma, acquired hypogammaglobulinaemia lichen planus, alopecia areata . Proc R Soc Med 67:196-198, 1973. 29. Copeman PWM, Schroeter AL, Kierland RR: An unusual variant of lupus erythematosus or lichen planus . Br J Dermatol 83:269-272, 1970.Crossref 30. Thormann J: Ulcerative lichen planus of the feet . Arch Dermatol 110:753-755, 1974.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Lichen Planus Pemphigoides: Immunofluorescence Findings

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Publisher
American Medical Association
Copyright
Copyright © 1976 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1976.01630330042011
Publisher site
See Article on Publisher Site

Abstract

Abstract • A 56-year-old woman developed a vesicular and bullous eruption followed by an efflorescence of lichenoid papules. The clinical and histologic features of this case were consistent with a diagnosis of lichen planus pemphigoides. Direct and indirect immunofluorescence studies demonstrated both in vivo-bound and circulating IgG with specificity for the epidermal basement membrane zone. A common pathogenic immunologic mechanism may exist for both lichen planus and lichen planus pemphigoides, which we believe are clinical variants of a similar disease process. (Arch Dermatol 112:1280-1283, 1976) References 1. Arndt KA: Lichen planus , in Fitzpatrick TB, Arndt KA, Clark WH, et al (eds): Dermatology in General Medicine . New York, McGraw-Hill Book Co, Inc, 1971, pp 728-735. 2. Altman J, Perry HO: The variations and course of lichen planus . Arch Dermatol 84:179-191, 1961.Crossref 3. Kaposi M: Lichen ruber pemphigoides . Arch Dermatol Syphilol 24:343-346, 1892.Crossref 4. Feuerman E, Sandbank M: Lichen planus pemphigoides with extensive melanosis . Arch Dermatol 104:61-67, 1971.Crossref 5. Beutner EH, Chorzelski TP, Jordan RE: Autosensitization in Pemphigus and Bullous Pemphigoid . Springfield, Ill, Charles C Thomas Publisher, 1970. 6. Bystryn JC, Able W, Weidman A: Antibodies against the cytoplasm of human epidermal cells . Arch Dermatol 108:241-244, 1973.Crossref 7. Crocker HR: Lichen planus: its variations, relations and imitations . Br J Dermatol 12:421-449, 1900. 8. Schreiner K: Lichen ruber pemphigoides und lichen ruber vesiculosus . Arch Dermatol Syphilol 161:647-657, 1930.Crossref 9. Strauss MJ: Vesicular and bullous lichen planus . Acta Derm Venereol 14:447-472, 1933. 10. Pautrier LM: Lichen plan complique d'eruption bulleuse (association de lichen plan et de dermatite polymorphe de Duhring-Brocq? ou lichen ruber pemphigoide?) Bull Soc Fr Dermatol Syphiligr 40:1137-1144, 1933. 11. Blair DS: Lichen planus pemphigoides: Report of a case and discussion of the literature . Arch Dermatol Syphilol 58:138-148, 1948.Crossref 12. Sarkany I, Caron GA, Jones HH: Lichen planus pemphigoides . Trans St John Hosp Dermatol Soc 50:50-55, 1964. 13. Diaz LFA: Lichen plan bulleux . Ann Dermatol Syphilol 97:39-48, 1970. 14. Samman PD: Lichen planus and lichenoid eruptions , in Rook A, Wilkinson DS, Ebling FJG (eds): Textbook of Dermatology , ed 2. Philadelphia, FA Davis Co, 1972, pp 1342-1343. 15. Schwartz B: Lichen planus pemphigoides . Proc R Soc Med 48:445-447, 1954. 16. Bologa EI, Valda F: In ruckbildung begriffener lichen ruber planus mit nachfolgender dermatitis herpetiformis Duhring . Dermatol Monatsschr 157:447-452, 1971. 17. Grupper C, Bourgeois-Spinasse J, Buisson J: Maladie de Duhring-Brocq suivie de lichen plan ou associee . Bull Soc Fr Dermatol Syphiligr 79:211-212, 1972. 18. Ueki H: Hyaline bodies in subepidermal papillae . Arch Dermatol 100:610-617, 1969.Crossref 19. Michel B, Sy EK, David K, et al: Immunofluorescent studies in lichen planus , abstracted. J Invest Dermatol 54:428, 1970. 20. Ebner H, Kraft D: Fibrinblagerungen beim lichen ruber planus . Arch Dermatol Forsch 243:305-317, 1972.Crossref 21. Ebner H, Kraft D: Fibrinnachweis mit einem enzymantiserum konjugat beim lichen ruber planus . Dermatologica 146:101-106, 1973.Crossref 22. Baart De La Faille-Kuyper EH, Baart De La Faille H: An immunofluorescence study of lichen planus . Br J Dermatol 90:365-371, 1974.Crossref 23. Baart De La Faille-Kuyper EH: Immunohistochemisch onderzoek bij lichen ruber . Ned T Geneesk 117:473, 1973. 24. Cram DL, Kierland RR, Winkelmann RK: Ulcerative lichen planus of the feet . Arch Dermatol 93:692-701, 1966.Crossref 25. Midana A, Zina G: Lichen pemphigoides: A paraneoplastic dermatosis? Ital Gen Rev Dermatol 9:9, 1969. 26. Magnusson B: Lichen ruber and sympathicoblastoma . Acta Derm Venereol 35:73, 1955. 27. Tan RSH: Ulcerative colitis, myasthenia gravis, atypical lichen planus, alopecia areata, vitiligo . Proc R Soc Med 67:195-196, 1973. 28. Tan RSH: Thymoma, acquired hypogammaglobulinaemia lichen planus, alopecia areata . Proc R Soc Med 67:196-198, 1973. 29. Copeman PWM, Schroeter AL, Kierland RR: An unusual variant of lupus erythematosus or lichen planus . Br J Dermatol 83:269-272, 1970.Crossref 30. Thormann J: Ulcerative lichen planus of the feet . Arch Dermatol 110:753-755, 1974.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Sep 1, 1976

References