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  Vol. 282 No. 6, August 11, 1999 TABLE OF CONTENTS
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Pemphigus—Diseases of Antidesmosomal Autoimmunity

Mark C. Udey, MD, PhD; John R. Stanley, MD

JAMA. 1999;282:572-576.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

CASE PRESENTATION

A 78-year-old white man was referred to the Dermatology Branch of the National Cancer Institute (NCI), Bethesda, Md, with a 5-month history of a bullous disorder. The patient initially went to a community dermatologist and presented with gingival and buccal erosions and with occasional flaccid blisters, crusted papules, and plaques involving the scalp, back, and chest. A provisional diagnosis of pemphigus vulgaris (PV) was made, and although biopsy results were nondiagnostic, indirect immunofluorescence testing revealed deposits of IgG on the surfaces of keratinocytes in monkey esophagus. He initially received prednisone (60 mg/d) and tetracycline hydrochloride (500 mg 4 times per day), but the regimen was changed to prednisone (100 mg/d) and azathioprine (100 mg/d) 2 weeks later because of an inadequate clinical response. The patient's disease remained active over the next 4 months despite treatment with prednisone (>=60 mg/d) and . . . [Full Text of this Article]

DISCUSSION

Clinical and Histologic Features of Pemphigus

Pathophysiology of Pemphigus

Therapy

CONCLUSIONS

Author Affiliations: Dermatology Branch, Division of Clinical Sciences, National Cancer Institute, Bethesda, Md (Dr Udey); and the Department of Dermatology, University of Pennsylvania, Philadelphia (Dr Stanley).



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