Immunopathological Assessment of the Oral Mucosa in Dermatitis Herpetiformis. 2023

Agnieszka Mania-Końsko, and Elżbieta Szponar, and Aleksandra Dańczak-Pazdrowska, and Monika Bowszyc-Dmochowska, and Jakub Pazdrowski, and Marzena Wyganowska
Department of Dental Surgery, Periodontology and Oral Mucosa Diseases, Poznan University of Medical Sciences, 70, Bukowska St., 60-812 Poznań, Poland.

Dermatitis herpetiformis (Duhring's disease, DH) is a chronic blistering cutaneous condition with pruritic polymorphic lesions, consisting of vesicles, papules or nodules and erythema, found predominantly on the extensor surfaces of the limbs, buttocks, and neck. Diagnosis is based on characteristic clinical and immunopathological findings. Oral manifestations of DH have rarely been described. The aim of the study was to evaluate IgA, IgG, IgM and C3 complement deposits in the oral mucosa in DH patients. Direct immunofluorescence (DIF) was performed on the oral mucosa specimens collected from 10 DH patients. Biopsy was taken in a local anesthesia from perilesional site from the buccal mucosa and then preserved in a standard procedure using polyclonal rabbit IgG, IgA, IgM and C3 antibodies. Granular IgA and C3 deposits were found in 6 patients (60%), and in 3 subjects (30%) the result was indeterminate. Significant fluorescence of the deposits along the basement membrane was observed in 2 patients, moderate fluorescence in 3 patients, and in 4 cases the result was indeterminate. C3 deposits were found in 5 subjects (50%), 3 of them being moderate and 2 indeterminate. No IgM and IgG deposits were detected in the collected buccal mucosa specimens.

UI MeSH Term Description Entries
D007070 Immunoglobulin A Represents 15-20% of the human serum immunoglobulins, mostly as the 4-chain polymer in humans or dimer in other mammals. Secretory IgA (IMMUNOGLOBULIN A, SECRETORY) is the main immunoglobulin in secretions. IgA,IgA Antibody,IgA1,IgA2,Antibody, IgA
D007074 Immunoglobulin G The major immunoglobulin isotype class in normal human serum. There are several isotype subclasses of IgG, for example, IgG1, IgG2A, and IgG2B. Gamma Globulin, 7S,IgG,IgG Antibody,Allerglobuline,IgG(T),IgG1,IgG2,IgG2A,IgG2B,IgG3,IgG4,Immunoglobulin GT,Polyglobin,7S Gamma Globulin,Antibody, IgG,GT, Immunoglobulin
D009061 Mouth Mucosa Lining of the ORAL CAVITY, including mucosa on the GUMS; the PALATE; the LIP; the CHEEK; floor of the mouth; and other structures. The mucosa is generally a nonkeratinized stratified squamous EPITHELIUM covering muscle, bone, or glands but can show varying degree of keratinization at specific locations. Buccal Mucosa,Oral Mucosa,Mucosa, Mouth,Mucosa, Oral
D003874 Dermatitis Herpetiformis Rare, chronic, papulo-vesicular disease characterized by an intensely pruritic eruption consisting of various combinations of symmetrical, erythematous, papular, vesicular, or bullous lesions. The disease is strongly associated with the presence of HLA-B8 and HLA-DR3 antigens. A variety of different autoantibodies has been detected in small numbers in patients with dermatitis herpetiformis. Duhring's Disease,Duhring Disease,Disease, Duhring,Disease, Duhring's,Duhrings Disease
D004890 Erythema Redness of the skin produced by congestion of the capillaries. This condition may result from a variety of disease processes. Erythemas
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

Agnieszka Mania-Końsko, and Elżbieta Szponar, and Aleksandra Dańczak-Pazdrowska, and Monika Bowszyc-Dmochowska, and Jakub Pazdrowski, and Marzena Wyganowska
January 1985, Przeglad dermatologiczny,
Agnieszka Mania-Końsko, and Elżbieta Szponar, and Aleksandra Dańczak-Pazdrowska, and Monika Bowszyc-Dmochowska, and Jakub Pazdrowski, and Marzena Wyganowska
June 1998, Archives of dermatology,
Agnieszka Mania-Końsko, and Elżbieta Szponar, and Aleksandra Dańczak-Pazdrowska, and Monika Bowszyc-Dmochowska, and Jakub Pazdrowski, and Marzena Wyganowska
January 2002, Acta dermato-venereologica,
Agnieszka Mania-Końsko, and Elżbieta Szponar, and Aleksandra Dańczak-Pazdrowska, and Monika Bowszyc-Dmochowska, and Jakub Pazdrowski, and Marzena Wyganowska
January 2012, Clinical & developmental immunology,
Agnieszka Mania-Końsko, and Elżbieta Szponar, and Aleksandra Dańczak-Pazdrowska, and Monika Bowszyc-Dmochowska, and Jakub Pazdrowski, and Marzena Wyganowska
November 1973, The British journal of dermatology,
Agnieszka Mania-Końsko, and Elżbieta Szponar, and Aleksandra Dańczak-Pazdrowska, and Monika Bowszyc-Dmochowska, and Jakub Pazdrowski, and Marzena Wyganowska
April 1974, The Indian journal of medical research,
Agnieszka Mania-Końsko, and Elżbieta Szponar, and Aleksandra Dańczak-Pazdrowska, and Monika Bowszyc-Dmochowska, and Jakub Pazdrowski, and Marzena Wyganowska
January 1971, Oral surgery, oral medicine, and oral pathology,
Agnieszka Mania-Końsko, and Elżbieta Szponar, and Aleksandra Dańczak-Pazdrowska, and Monika Bowszyc-Dmochowska, and Jakub Pazdrowski, and Marzena Wyganowska
March 1968, Canadian Medical Association journal,
Agnieszka Mania-Końsko, and Elżbieta Szponar, and Aleksandra Dańczak-Pazdrowska, and Monika Bowszyc-Dmochowska, and Jakub Pazdrowski, and Marzena Wyganowska
June 1984, Scandinavian journal of dental research,
Agnieszka Mania-Końsko, and Elżbieta Szponar, and Aleksandra Dańczak-Pazdrowska, and Monika Bowszyc-Dmochowska, and Jakub Pazdrowski, and Marzena Wyganowska
January 1967, Stomatoloski vjesnik. Stomatological review,
Copied contents to your clipboard!