title: [Bullous pemphigoid and amyotrophic lateral sclerosis].
abstract: BACKGROUND
  Bullous pemphigoid is the most frequent blistering disease and has been found associated to several neurological diseases, including amyotrophic lateral sclerosis.
  
  
  METHODS
  A 63-year-old male with bulbar-onset amyotrophic lateral sclerosis who presented clinical and histological signs and symptoms of bullous pemphigoid.
  
  
  CONCLUSIONS
  The association does not seem to occur by chance and we suggest an autoimmune pathogenetic mechanism consisting in a crossed reaction between bullous pemphigoid antigen 1 and the protein dystonin, which is involved in the organisation/integrity of the neuronal cytoskeleton.
authors.affiliation: Unidad de Neurología, Hospital Comarcal de Monforte de Lemos, 27400 Monforte de Lemos, España. daniel.apolinar.garcia.estevez@sergas.es
authors.forename: D A
authors.initials: DA
authors.lastname: García-Estévez
authors.forename: G
authors.initials: G
authors.lastname: Peón-Currás
authors.forename: F
authors.initials: F
authors.lastname: Bal-Nieves
mesh_terms: D000690:Amyotrophic Lateral Sclerosis / Q000150:complications / Q000276:immunology; D006801:Humans; D008297:Male; D008875:Middle Aged; D010391:Pemphigoid, Bullous / Q000209:etiology / Q000276:immunology