Association between the subepidermal autoimmune blistering diseases linear IgA disease and the pemphigoid group and inflammatory bowel disease: two case reports and literature review

Association between the subepidermal autoimmune blistering diseases linear IgA disease and the pemphigoid group and inflammatory bowel disease: two case reports and literature review
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表皮下自身免疫性水疱病线性IgA病与类天疱疮和炎症性肠病的关联:两例报告及文献复习

DOI:
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发表时间:
2012
期刊:
Clincal and Experimental Dermatology
影响因子:
--
通讯作者:
F. Wojnarowska
F. Wojnarowska
中科院分区:
--
文献类型:
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作者:
A. R. Shipman;H. Reddy;F. Wojnarowska

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我们报告了两例表皮下自身免疫性水疱病和炎症性肠病(IBD)[一例伴线性伊加病(LAD)和溃疡性结肠炎(UC),另一例伴粘膜类天疱疮(MMP)和克罗恩病(CD)],并对所有先前报道的病例进行了回顾。我们复习文献,发现48例自身免疫性水疱病合并IBD患者。大疱性疾病为前降支(LAD)25例,大疱性类天疱疮(BP)21例,MMP 1例,妊娠性类天疱疮1例,炎症性肠病(IBD)包括UC 40例,CD 8例。我们描述了患者的临床和免疫病理学特征和人口统计学特征。在所有病例中,除了一个病例外,IBD的诊断早于皮肤状况的发展。与LAD相关性比与BP相关性更常见。IBD和自身免疫性水疱疾病的免疫发病机制进行了讨论,并假设它们之间的联系,即,在肠壁中的不受调节的炎症过程中向免疫系统呈递多种抗原导致免疫系统的兴奋和自体抗原的识别。
We report two patients with subepidermal autoimmune blistering diseases and inflammatory bowel disease (IBD) [one with linear IgA disease (LAD) and ulcerative colitis (UC), and the other with mucous membrane pemphigoid (MMP) and Crohn disease (CD)], and present a review of all previously reported cases. We reviewed the literature, and found 48 cases of patients with autoimmune blistering diseases and IBD. The blistering diseases were LAD (25 patients), bullous pemphigoid (BP) (21), MMP (1) and pemphigoid gestationis (1), while the IBD types comprised UC (40) and CD (8). We describe the clinical and immunopathological features and demographic characteristics of the patients. In all but one case, the diagnosis of IBD predated the development of the skin condition. The association was more common with LAD than BP. The immunopathogenesis of IBD and autoimmune blistering diseases is discussed and a link between them hypothesized, namely, that the presentation of multiple antigens to the immune system during the unregulated inflammation in the bowel wall results in excitation of the immune system and recognition of autologous antigens.
DOI: --
发表时间: 1999
期刊: Journal of immunology (Baltimore, Md. : 1950)
影响因子: --
作者:
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影响因子: --
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影响因子: --
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Egan,CA;Meadows,KP;Zone,JJ
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影响因子: 15.9
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通讯作者: GIUDICE, GJ