TY - CHAP M1 - Book, Section TI - Chapter 56. Bullous Pemphigoid A1 - Culton, Donna A. A1 - Liu, Zhi A1 - Diaz, Luis A. A2 - Goldsmith, Lowell A. A2 - Katz, Stephen I. A2 - Gilchrest, Barbara A. A2 - Paller, Amy S. A2 - Leffell, David J. A2 - Wolff, Klaus Y1 - 2012 N1 - T2 - Fitzpatrick's Dermatology in General Medicine, 8e AB - |PrintBullous Pemphigoid at a GlanceUsually occurs in elderly patients.Yearly mortality varies from 6% to 40%.Pruritic urticarial lesions and tense large blisters. Oral mucous membrane erosions in minority of patients.Skin pathology shows subepidermal blisters with eosinophils.Direct immunofluorescence shows immunoglobulin (Ig) G and C3 at epidermal basement membrane of perilesional skin, indirect immunofluorescence shows IgG antibasement membrane autoantibodies in the serum.The autoantigens BPAg1e and the BP180 are proteins of the keratinocyte hemidesmosome, a basal cell–basement membrane adhesion structure.Therapy includes topical and systemic corticosteroids and immunosuppressives. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/04/20 UR - accessmedicine.mhmedical.com/content.aspx?aid=56037796 ER -