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January 1976

Dermatitis Herpetiformis and Bullous Pemphigoid: Intermediate and Mixed Forms

Author Affiliations

From the Department of Dermatology, Warsaw School of Medicine (Drs Jablonska, Chorzelski, Maciejowska, and Rzęsa) and the Department of Microbiology, State University of New York at Buffalo, School of Medicine, Buffalo, NY (Dr Beutner).

Arch Dermatol. 1976;112(1):45-48. doi:10.1001/archderm.1976.01630250017005

• Nine patients had clinical and histological features suggestive of both dermatitis herpetiformis (DH) and bullous pemphigoid (BP). Five patients responded to treatment with sulfapyridine or sulfones: in two the response was inconsistent, and the disease was controlled by combined treatment with prednisone; in one patient, there was no response to sulfapyridine or sulfones. Immunofluorescence studies showed IgA deposits in a linear homogeneous pattern at the basement membrane zone in all patients, and IgG was present in five. No circulating anti-basement membrane antibodies were detected by repeated immunofluorescence examinations. The authors conclude that the occasional overlapping of BP and DH should not lead to dropping the distinction between the two entities. For overlap cases that cannot be classified as BP or DH, the term "intermediate or mixed form of DH and BP" seems to be most suitable.

(Arch Dermatol 112:45-48, 1976)

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