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Epidermolysis bullosa acquisita associated with chronic lymphatic leukaemia
Authors:MARCIA SHAW,P.H. McKEE,&dagger  ,ELIZABETH GAMINARA&Dagger  ,T.C. PEARSON&Dagger  ,BERYL EVANS&dagger  ,D.H. McGIBBON
Affiliation:Department of Dermatology, St. Thomas' Hospital, London, UK;Department of Histopathology, St. Thomas' Hospital Medical School, London, UK;Department of Haematology, St. Thomas' Hospital Medical School, London, UK
Abstract:A 61–year-old man developed epidermolysis bullosa acquisita (EBA) in association with an IgM paraprotein and chronic lymphatic leukaemia (CLL). Direct immunocyto-chemistry and immunoelectron microscopy confirmed the presence of IgM at the dermoepidermal junction. IgG was not present. This appears to be a unique observation in EBA and is discussed in relationship to the possible pathogenesis of the disorder.
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