a case of lichen planus pemphigoides successfully treated with a combination of cyclosporine a and prednisolone

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ID: 204601
2013
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Abstract
Lichen planus pemphigoides (LPP) is a rare clinical variant of bullous pemphigoid (BP). A 35-year-old female patient presented to our hospital complaining of pruritic violaceous-colored plaques or papules on the extremities. Tense vesicles were also seen on the soles. Skin biopsies from the papules and vesicles demonstrated lichen planus and BP, respectively. Direct immunofluorescence demonstrated linear IgG and C3 deposition on the basement membrane zone. Indirect immunofluorescence on 1 M NaCl split skin detected IgG reactivity with the epidermal side. Enzyme-linked immunosorbent assay also detected anti-BP180 antibodies. After treatment with oral prednisolone alone had failed, low-dose cyclosporine A (CyA) was added. The clinical symptoms immediately improved and the titer of the anti-BP180 antibodies decreased. Although there is little information about the treatment of recalcitrant LPP, additional CyA appeared to be beneficial.
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washio2013casea Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Ken Washio;Atsuko Nakamura;Shunpei Fukuda;Takashi Hashimoto;Tatsuya Horikawa
Journal the american journal of the medical sciences
Year 2013
DOI
10.1159/000350285
URL
http://www.karger.com/Article/FullText/350285
Keywords
bullous pemphigoid cyclosporine adermatology

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