Sacral Dimple, Conjunctiva, and Nipple as Less Obvious Pemphigus Vulgaris Locations around Natural Body Orifices: A Report of Three Cases.

Sacral Dimple, Conjunctiva, and Nipple as Less Obvious Pemphigus Vulgaris Locations around Natural Body Orifices: A Report of Three Cases.
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DOI:
10.3390/jcm11102855
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发表时间:
2022-05-18
影响因子:
3.9
通讯作者:
--
中科院分区:
医学2区
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--
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在本文中,我们介绍了我们自己的临床实验室经验,对三种不太明显的寻常型天疱疮(PV)的表现,并讨论了相关文献。这是第一次报告的骶窝受累,以及乳头和眼睛的受累,最初在临床上可能具有误导性。这些不太典型的定位可能是由于不同上皮细胞的转变,每个上皮细胞具有不同水平的钙粘附素(桥粒芯糖蛋白、桥粒芯胶原),从而改变了对机械应力的敏感性。在治疗自身免疫性水疱性皮肤病方面有经验的皮肤科医生的作用对于迅速识别这种不寻常部位的初始和加重的PV损害是至关重要的。
In this paper, we present our own clinical-laboratory experience concerning three less obvious presentations of pemphigus vulgaris (PV) and discuss the pertinent literature. The involvement of the sacral dimple reported here for the first time, as well as the nipple and the eyes, could initially be misleading clinically. These less stereotypical localizations may occur due to the transition of different epithelia, each with varying levels of cadherin (desmoglein, desmocollin) and thus altered sensitivity to mechanical stress. The role of dermatologists who have experience in treating autoimmune blistering dermatoses is fundamental for identifying promptly the initial and exacerbating PV lesions in such unusual locations.
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