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March 1974

Pemphigus vs Acantholytic Herpetiform Dermatitis

Arch Dermatol. 1974;109(3):408-409. doi:10.1001/archderm.1974.01630030062020

To the Editor.—  The report by Drs. DeMento and Grover in the Archives (107:883, 1973) poses a number of challenging questions, many of which remain to be answered. At this point, it appears that the best interests of the field of dermatology would be served by reporting as accurately as possible the basic findings in this (and hopefully in other comparable cases). The patient of Drs. DeMento and Grover appears to have some signs of pemphigus and some of dermatitis herpetiformis. Several possible diagnoses of the condition exist.1. This disease may be dermatitis herpetiformis (DH) as indicated in the aforementioned report. If this is so, it should be possible to detect the junctional deposits of IgA typical of DH in the patient's skin, since such deposits have been found in virtually all cases that have been examined adequately. Examination of two biopsy specimens studied in this laboratory failed to

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