Anti‐ <scp>p200</scp> Pemphigoid in an Infant Clinically Mimicking Linear <scp>IgA</scp> Disease
We report a 10-month-old boy with annular/polycyclic vesicles on his face, neck, trunk, and extremities that clinically and histomorphologically indicated linear IgA disease (LAD)/chronic bullous disease of childhood (CBDC); however, the immunofluorescence findings and serum positivity for anti-laminin β4 antibodies were consistent with anti-p200 pemphigoid. His condition improved with prednisolone but recurred during tapering; remission was achieved following dapsone administration. Anti-p200 pemphigoid often resembles bullous pemphigoid clinically and is characterized similarly by subepidermal bullae with linear IgG antibody reactivity and C3 basement membrane zone (BMZ) localization, but differs in its target antigen.
Authors
- Elek Wellman
- Kristin M. Leiferman (ORCID: https://orcid.org/0000-0001-9421-0575)
- Morgan L. Wilson
- Joseph Conlon
Institutions
- Southern Illinois University School of Medicine (US)
- University of Utah (US)
- ARUP Laboratories (United States) (US)
- Springfield Clinic (US)
Publication Details
- Journal
- Pediatric Dermatology
- Published
- 2026-04-13
- DOI
- https://doi.org/10.1111/pde.70212
- Primary Topic
- Autoimmune Bullous Skin Diseases
- Type
- article
- Field-Weighted Citation Impact
- 0.00