Document Detail


Paraneoplastic pemphigus/paraneoplastic autoimmune multiorgan syndrome.
MedLine Citation:
PMID:  19200194     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Paraneoplastic pemphigus is the term used for an exclusive subset of pemphigus. The clinical lesions may resemble pemphigus, pemphigoid, erythema multiforme, graft-vs.-host disease, or lichen planus. A common denominator in all patients is the concomitant occurrence of either occult or confirmed systemic neoplasm. It is imperative to confirm the diagnosis through microscopy, where intraepidermal suprabasal cleavage, epidermal acantholysis, dyskeratotic keratinocytes and vacuolar changes in the basal epidermis, interfacial dermatitis, and epidermal exocytosis can be seen. Furthermore, the deposition of immunoglobulin G (IgG) and complement in the epidermal intercellular spaces, detected by direct and/or indirect immunofluorescence, is equally crucial for confirming the diagnosis.
Authors:
Virendra N Sehgal; Govind Srivastava
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  International journal of dermatology     Volume:  48     ISSN:  1365-4632     ISO Abbreviation:  Int. J. Dermatol.     Publication Date:  2009 Feb 
Date Detail:
Created Date:  2009-02-09     Completed Date:  2009-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0243704     Medline TA:  Int J Dermatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  162-9     Citation Subset:  IM    
Affiliation:
Dermato-Venereology (Skin/VD) Centre, Sehgal Nursing Home, Panchwati, Azadpur, Delhi, India. drsehgal@ndf.vsnl.net.in
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MeSH Terms
Descriptor/Qualifier:
Humans
Multiple Organ Failure / etiology*,  immunology,  pathology
Paraneoplastic Syndromes / etiology*,  immunology,  pathology
Pemphigus / complications*,  immunology,  pathology

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