To the Editor.—
With interest, I read the article by Gibbs and Minus.1 To their knowledge, it was the first report of electron microscopical studies of epidermolysis bullosa acquisita. I would like to draw attention to a case report, published by me in Dermatologica in 1974,2 of a 76-year-old woman with epidermolysis bullosa acquisita. The electron microscopical studies in this case were similar to those in the case reported by Gibbs and Minus. Two photomicrographs showed a bulla situated in the stratum papillare cutis; fragments of collagen fibers were present in the roof of the bulla, and the basal lamina composing the roof showed destruction in some places.
Woerdeman MJ. Epidermolysis Bullosa Acquisita With Electron Microscopical Studies. Arch Dermatol. 1975;111(12):1658. doi:10.1001/archderm.1975.01630240114021