Unilateral bullous pemphigoid in a hemiplegic patient.
A 78-year-old man with a long-standing left-sided hemiplegia presented with bullous pemphigoid which affected his paralysed side only. Although the rash was unilateral, direct immunofluorescence demonstrated IgG antibody at the dermo-epidermal junction on both sides of the body. Indirect immunofluorescence was also positive. A suction-blister test showed increased skin fragility on the affected side.
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Department of Dermatology, University of Wales College of Medicine, Heath Park, Cardiff, U.K.
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D000368:Aged; D000888:Antibodies, Anti-Idiotypic / Q000032:analysis; D001485:Basement Membrane / Q000276:immunology; D006429:Hemiplegia / Q000150:complications* / Q000276:immunology; D006801:Humans; D007074:Immunoglobulin G / Q000276:immunology; D008297:Male; D010391:Pemphigoid, Bullous / Q000150:complications* / Q000276:immunology
D000888:Antibodies, Anti-Idiotypic; D007074:Immunoglobulin G