Chronic bullous disease of childhood with IgG predominance: What is the locus standi?

Linear IgA disease (LAD) is an acquired, autoimmune, subepidermal, blistering disease, characterized by linear deposition of IgA along the dermoepidermal junction on immunofluorescence. Some cases known as ′mixed immunobullous disease′ show weak staining with other immune reactants like IgG, IgM or...

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Main Authors: Nayeem Sadath Haneef, S Ramachandra, Arun Kumar Metta, L Srujana
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2012-01-01
Series:Indian Journal of Dermatology
Subjects:
Online Access:http://www.e-ijd.org/article.asp?issn=0019-5154;year=2012;volume=57;issue=4;spage=285;epage=287;aulast=Haneef
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author Nayeem Sadath Haneef
S Ramachandra
Arun Kumar Metta
L Srujana
author_facet Nayeem Sadath Haneef
S Ramachandra
Arun Kumar Metta
L Srujana
author_sort Nayeem Sadath Haneef
collection DOAJ
description Linear IgA disease (LAD) is an acquired, autoimmune, subepidermal, blistering disease, characterized by linear deposition of IgA along the dermoepidermal junction on immunofluorescence. Some cases known as ′mixed immunobullous disease′ show weak staining with other immune reactants like IgG, IgM or C3. We report a rare case of a child having typical manifestations of LAD (chronic bullous disease of childhood), but with IgG predominance rather than IgA. Obviously it is improper to term this as linear IgA disease. Such cases are reported in literature as variants of LAD, with a multitude of terms like mixed immune bullous disease, linear IgG / IgA disease, linear IgA / IgG disease, and so on. In view of the tremendous confusion that these multiple terms cause in the absence of any practical benefit, we propose that the broad term ′chronic bullous disease of childhood′ be applied to all childhood cases, irrespective of the nature of the immune deposits.
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spelling doaj.art-d565854e3ad14839873da93840d10aee2022-12-21T22:43:47ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112012-01-0157428528710.4103/0019-5154.97670Chronic bullous disease of childhood with IgG predominance: What is the locus standi?Nayeem Sadath HaneefS RamachandraArun Kumar MettaL SrujanaLinear IgA disease (LAD) is an acquired, autoimmune, subepidermal, blistering disease, characterized by linear deposition of IgA along the dermoepidermal junction on immunofluorescence. Some cases known as ′mixed immunobullous disease′ show weak staining with other immune reactants like IgG, IgM or C3. We report a rare case of a child having typical manifestations of LAD (chronic bullous disease of childhood), but with IgG predominance rather than IgA. Obviously it is improper to term this as linear IgA disease. Such cases are reported in literature as variants of LAD, with a multitude of terms like mixed immune bullous disease, linear IgG / IgA disease, linear IgA / IgG disease, and so on. In view of the tremendous confusion that these multiple terms cause in the absence of any practical benefit, we propose that the broad term ′chronic bullous disease of childhood′ be applied to all childhood cases, irrespective of the nature of the immune deposits.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2012;volume=57;issue=4;spage=285;epage=287;aulast=HaneefChronic bullous disease of childhoodlinear IgA diseaselinear IgG / IgA diseasemixed immunobullous disease
spellingShingle Nayeem Sadath Haneef
S Ramachandra
Arun Kumar Metta
L Srujana
Chronic bullous disease of childhood with IgG predominance: What is the locus standi?
Indian Journal of Dermatology
Chronic bullous disease of childhood
linear IgA disease
linear IgG / IgA disease
mixed immunobullous disease
title Chronic bullous disease of childhood with IgG predominance: What is the locus standi?
title_full Chronic bullous disease of childhood with IgG predominance: What is the locus standi?
title_fullStr Chronic bullous disease of childhood with IgG predominance: What is the locus standi?
title_full_unstemmed Chronic bullous disease of childhood with IgG predominance: What is the locus standi?
title_short Chronic bullous disease of childhood with IgG predominance: What is the locus standi?
title_sort chronic bullous disease of childhood with igg predominance what is the locus standi
topic Chronic bullous disease of childhood
linear IgA disease
linear IgG / IgA disease
mixed immunobullous disease
url http://www.e-ijd.org/article.asp?issn=0019-5154;year=2012;volume=57;issue=4;spage=285;epage=287;aulast=Haneef
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