Pemphigus and BMZ diseases in people: presentations and ...

• Subepidermal blister at level of lamina lucida
• Neutrophilic microabscesses in dermal papillae
IF - see table 1
Management
• Dapsone or sulfapyridine
• Gluten-free diet
• Avoid iodine and NSAIDs
Course and prognosis
• Persists indefinitely
• Waxes and wanes
References
1. Fassihi H, Wong T, Wessagowit V et al. Target proteins in inherited and acquired blistering skin disorders. Clinical
and Experimental Dermatology 2006; 31: 252-259.
2. Herne KL, Jordon RE, Hsu S. Autoimmune bullous diseases. In: Ali A ed. Dermatology: A Pictorial Review. China:
The McGraw-Hill Companies, 2007: 139-151.
3. Saha M, Harman K, Mortimer NJ et al.Pemphigus vulgaris in white Europeans is linked with HLA Class II Allele
HLA DRB1*1454 but Not DRB1*1401 Journal of Investigative Dermatology 2010; 130: 311–314.
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