Clinical and antigenic heterogeneity of linear IgA bullous dermatosis of the childhood: Report of two cases.

Authors

  • Ricardo Rueda

Keywords:

cutaneus lupus eritematosus, vesiculobullous skin diseases, Amoxacillin- potasium clavulanate

Abstract

Linear IgA bullous dermatosis is an autoinmune blistering disorder histologically characterized by the development of subepidermal blisters with IgA and C3 linear deposits along the basal membrane zone (BMZ). The clinical hetereogeneity of  his disease is reflected by two different ages of presentation: in childhood and adults. Additionally, there are a number of different antigens related in its physiopathology in such a way that they can be grouped in two different antigenical categories in the BMZ. One with antigens located in the lamina lucida, in other words, in the epithelial side, and the other with antigens in the dermal side, in the sublamina densa.
I present two cases which illustrate both varieties of presentation and allow to review the etiologycal pleomorphism of this entity. Additionally, the association linear IgA bullous dermatosis with systemic lupus erythematosus in childhood, and the trigger implication of the combination amoxicillin-clavulanic acid with linear Ig-A bullous dermatosis are here in reported.

Author Biography

Ricardo Rueda

Dermatólogo, Dermatopatólogo.Universidad del Valle, Cali, Colombia.

References

1. Weedon D. The vesiculobullous reaction pattern. En: Weedon D. editor. Skin Pathology. Second edition. Churchill Livingstone; 2002. 129-91.
2. Ho JC, Ng PL, Tan SH, Giam YC. Childhood linear IgA bullous disease triggered by amoxicillin-clavulanic acid. Pediatr Dermatol 2007; 24: E40-3.
3. Weng MW, Qiu BS, Kang KF. An analysis of 24 patients with IgA deposition at the BMZ. J Dermatol. 1993; 20: 276-8.
4. Alba D, Alvarez-Doforno R, Casado M, Bordujo J. Linear bullous IGA deratosis and systemic lupus erythematosus. Med Clin (Barc). 1995;105: 77-8.
5. Tani M, Shimizu R, Ban M, Murata Y, Tamaki A. Systemic lupus erythematosus with vesiculobullous lesions. Immuno electron microscopic studies. Arch Dermatol 1984; 120:1497-501.

How to Cite

1.
Rueda R. Clinical and antigenic heterogeneity of linear IgA bullous dermatosis of the childhood: Report of two cases. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2019 Feb. 6 [cited 2024 Jul. 3];16(1):57-61. Available from: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/105

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Published

2019-02-06

How to Cite

1.
Rueda R. Clinical and antigenic heterogeneity of linear IgA bullous dermatosis of the childhood: Report of two cases. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2019 Feb. 6 [cited 2024 Jul. 3];16(1):57-61. Available from: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/105

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Section

Case Report
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