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Paraneoplastic pemphigus presenting as erythrodermic lichenoid dermatitis with concomitant features of pemphigus foliaceus
Authors:Fukumoto Takaya  Shiroyama Yoshimi  Niizeki Hironori  Kobayashi Nobuhiko  Asada Hideo  Ishii Norito  Hashimoto Takashi  Miyagawa Sachiko
Affiliation:Department of Dermatology, Nara Medical University School of Medicine, Nara, Japan. tfukumot@naramed-u.ac.jp
Abstract:We describe a patient with paraneoplastic pemphigus who presented with erythrodermic lichenoid dermatitis, later developing blisters of pemphigus foliaceus type and oral erosive lesions. In addition to antibodies against the plakin family proteins, the patient's serum was positive for anti-desmoglein 1 antibodies without coexisting anti-desmoglein 3 activities by enzyme-linked immunosorbent assay, which is a very rare autoantibody profile in paraneoplastic pemphigus.
Keywords:desmoglein 1    erythroderma    lichenoid dermatitis    paraneoplastic pemphigus    pemphigus foliaceus.
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