Document Detail


Exacerbation of pemphigus after influenza vaccination.
MedLine Citation:
PMID:  18681883     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Pemphigus is a rare autoimmune disease characterized by flaccid blisters and erosions on skin and mucous epithelia. A critical event in its pathogenesis is production of antidesmoglein antibodies, which mediate the loss of intercellular adhesion in epithelia, leading to blister formation. Multiple environmental factors (ultraviolet radiation, trauma, drugs, infective agents) have been suggested as possible triggers of pemphigus. Occasionally, the disease has been reported to follow viral and bacterial vaccination. We describe a patient who experienced exacerbation of pemphigus shortly after administration of the influenza vaccination on two separate occasions. We review the literature, suggest possible explanations for a causal relationship, and discuss the administration of vaccination to these patients.
Authors:
C De Simone; G Caldarola; M D'agostino; A Zampetti; P Amerio; C Feliciani
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-08-02
Journal Detail:
Title:  Clinical and experimental dermatology     Volume:  33     ISSN:  1365-2230     ISO Abbreviation:  Clin. Exp. Dermatol.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-10-28     Completed Date:  2008-12-15     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7606847     Medline TA:  Clin Exp Dermatol     Country:  England    
Other Details:
Languages:  eng     Pagination:  718-20     Citation Subset:  IM    
Affiliation:
Department of Dermatology, Catholic University of the Sacred Heart, Rome, Italy.
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MeSH Terms
Descriptor/Qualifier:
Humans
Immunocompromised Host*
Influenza Vaccines / adverse effects*
Male
Middle Aged
Mouth Mucosa / pathology
Pemphigus / immunology*,  pathology
Skin / pathology
Chemical
Reg. No./Substance:
0/Influenza Vaccines

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