Abstract:
BACKGROUND:Bullous pemphigoid (BP) is an autoimmune polymorphic skin disease characterized by erythematous papules and plaques and tense bullae. A skin biopsy for direct immunofluorescence (DIF) is used to detect autoantibodies and complement proteins. OBJECTIVE:We sought to determine which location would provide the highest probability of obtaining a positive DIF result. METHOD:We undertook a retrospective chart review of 1,423 DIF biopsies. Biopsies with a clinical suspicion of BP were designated as either lesional, perilesional, or indeterminate. RESULTS:Fifty percent of lesional DIF biopsies were positive, whereas 22% of perilesional and 12% of indeterminate biopsies had a positive DIF result. The odds ratio of a positive DIF from a lesional versus perilesional biopsy site was found to be 3.45 (95% CI 1.44-8.29). CONCLUSION:Clinicians are more likely to obtain a positive DIF result from a lesional nonbullous skin biopsy than from a perilesional or normal skin biopsy.
journal_name
J Cutan Med Surgjournal_title
Journal of cutaneous medicine and surgeryauthors
Sladden C,Kirchhof MG,Crawford RIdoi
10.2310/7750.2014.14004subject
Has Abstractpub_date
2014-11-01 00:00:00pages
392-6issue
6eissn
1203-4754issn
1615-7109journal_volume
18pub_type
杂志文章abstract::We report a case of an 17-year-old male with a drug reaction in the spectrum of Stevens-Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN), triggered by carbamazepine, who was succesfully treated with the combination of dexamethasone, cyclosporine, and etanercept. This triple therapy halted and prevented skin epi...
journal_title:Journal of cutaneous medicine and surgery
pub_type: 杂志文章
doi:10.1177/1203475419861078
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pub_type: 杂志文章,评审
doi:10.1177/1203475416651605
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journal_title:Journal of cutaneous medicine and surgery
pub_type: 杂志文章,评审
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journal_title:Journal of cutaneous medicine and surgery
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journal_title:Journal of cutaneous medicine and surgery
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pub_type: 杂志文章,实务指引
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pub_type: 杂志文章,评审
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journal_title:Journal of cutaneous medicine and surgery
pub_type: 杂志文章,评审
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pub_type: 临床试验,杂志文章,多中心研究,随机对照试验
doi:10.1007/s10227-001-0031-z
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pub_type: 杂志文章,评审
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journal_title:Journal of cutaneous medicine and surgery
pub_type: 杂志文章,评审
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