RESUMEN
Epidermolysis bullosa acquisita (EBA) is an autoimmune-mediated subepidermal bullous disease in which the target of the autoantibodies is type VII collagen, a major component of anchoring fibrils. The purpose of this study was to evaluate the complement-fixing abilities and IgG subclass distribution of autoantibodies in EBA, and to also attempt to investigate the relation between inflammation, complement fixation and IgG subclass distribution in EBA patients. Only 2 sera of 18 patients (11%) showed weak complement-fixing abilities. IgG1 and IgG4 were the most frequently and intensely stained IgG subclasses in EBA sera. We could not find any relationship between the clinico-pathologic types, complement-fixing abilities and IgG subclasses in EBA. These results suggested that complement activation may not be a key factor of bulla formation in EBA.
Asunto(s)
Adulto , Femenino , Humanos , Masculino , Autoanticuerpos/clasificación , Proteínas del Sistema Complemento/inmunología , Epidermólisis Ampollosa Adquirida/inmunología , Técnica del Anticuerpo Fluorescente , Inmunoglobulina G/clasificación , Persona de Mediana EdadRESUMEN
Se presenta el caso de una paciente, de sexo femenino, de 55 años con diagnóstico clínico e inmunopatológico de epidermólisis ampollar adquirida, con compromiso extenso de mucosas, afectando hasta tercio superior de esófago. Se efectuó una revisión del tema en sus aspectos epidemiológicos, clínicos, inmunohistológicos, pronósticos y terapéuticos