Mixed bullous disease with labile erythrocyte sedimentation rate.
A woman, aged 66, fulfilled all the usual criteria of dermatitis herpetiformis. Subsequently, she developed circulating IgA and IgM basement membrane zone antibodies, a labile erythrocyte sedimentation rate (ESR), and the clinical picture changed to one of bullous pemphigoid. Her labile ESR was obviously caused by a factor related to the erythrocytes. Direct Coombs test was positive.
D000368:Aged; D001799:Blood Sedimentation; D003874:Dermatitis Herpetiformis / Q000097:blood* / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D012872:Skin Diseases, Vesiculobullous / Q000097:blood* / Q000473:pathology