Combined features of pemphigus and pemphigoid induced by penicillamine

Br J Dermatol. 1985 May;112(5):615-9. doi: 10.1111/j.1365-2133.1985.tb15273.x.

Abstract

D-Penicillamine is able to induce a bullous eruption with the clinical, histological and immunological features of pemphigus. We present a case that had all the characteristics of pemphigus, but also in vivo bound IgG against the dermo-epidermal junction, i.e. the immunological features of bullous pemphigoid. Since no subepidermal blistering was observed, it is concluded that the penicillamine-induced auto-antibodies against the basement membrane zone were biologically inactive.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Female
  • Humans
  • Immunoglobulins / analysis
  • Pemphigoid, Bullous / chemically induced*
  • Pemphigoid, Bullous / complications
  • Pemphigoid, Bullous / immunology
  • Pemphigus / chemically induced*
  • Pemphigus / complications
  • Pemphigus / immunology
  • Penicillamine / adverse effects*
  • Skin / immunology
  • Skin Diseases, Vesiculobullous / chemically induced*

Substances

  • Immunoglobulins
  • Penicillamine