Minimizing cicatricial pemphigoid orodynia with minocycline.

Cicatricial pemphigoid is a rare autoimmune blistering disease of the elderly. It predominantly affects the mucosae, causing pain and scarring. the target antigen is within the lamina lucida of the basement membrane zone. Potential complications of systemic steroid and other immunosuppressive therap...

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Main Authors: Poskitt, L, Wojnarowska, F
Format: Journal article
Language:English
Published: 1995
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author Poskitt, L
Wojnarowska, F
author_facet Poskitt, L
Wojnarowska, F
author_sort Poskitt, L
collection OXFORD
description Cicatricial pemphigoid is a rare autoimmune blistering disease of the elderly. It predominantly affects the mucosae, causing pain and scarring. the target antigen is within the lamina lucida of the basement membrane zone. Potential complications of systemic steroid and other immunosuppressive therapy have prompted trials of other means of treatment. We describe a series of seven patients treated with minocycline, six of whom derived sustained alleviation of orodynia. Four patients developed hyperpigmentation, and two complained of gastrointestinal discomfort which necessitated cessation of minocycline. Complete steroid withdrawal was achieved in two cases. Neither the disease progression nor the response to treatment was influenced by the immunoglobulin isotype or titre. The role of minocycline as a useful adjunct to therapy is discussed.
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spelling oxford-uuid:90d1f9d1-accd-461a-aa3a-fc78d7c2cc652022-03-26T23:14:24ZMinimizing cicatricial pemphigoid orodynia with minocycline.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:90d1f9d1-accd-461a-aa3a-fc78d7c2cc65EnglishSymplectic Elements at Oxford1995Poskitt, LWojnarowska, FCicatricial pemphigoid is a rare autoimmune blistering disease of the elderly. It predominantly affects the mucosae, causing pain and scarring. the target antigen is within the lamina lucida of the basement membrane zone. Potential complications of systemic steroid and other immunosuppressive therapy have prompted trials of other means of treatment. We describe a series of seven patients treated with minocycline, six of whom derived sustained alleviation of orodynia. Four patients developed hyperpigmentation, and two complained of gastrointestinal discomfort which necessitated cessation of minocycline. Complete steroid withdrawal was achieved in two cases. Neither the disease progression nor the response to treatment was influenced by the immunoglobulin isotype or titre. The role of minocycline as a useful adjunct to therapy is discussed.
spellingShingle Poskitt, L
Wojnarowska, F
Minimizing cicatricial pemphigoid orodynia with minocycline.
title Minimizing cicatricial pemphigoid orodynia with minocycline.
title_full Minimizing cicatricial pemphigoid orodynia with minocycline.
title_fullStr Minimizing cicatricial pemphigoid orodynia with minocycline.
title_full_unstemmed Minimizing cicatricial pemphigoid orodynia with minocycline.
title_short Minimizing cicatricial pemphigoid orodynia with minocycline.
title_sort minimizing cicatricial pemphigoid orodynia with minocycline
work_keys_str_mv AT poskittl minimizingcicatricialpemphigoidorodyniawithminocycline
AT wojnarowskaf minimizingcicatricialpemphigoidorodyniawithminocycline