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Journal of the European Academy of Dermatology and Venereology
Article . 2013 . Peer-reviewed
License: Wiley Online Library User Agreement
Data sources: Crossref
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Epidermolysis bullosa acquisita

Authors: J H, Kim; S-C, Kim;

Epidermolysis bullosa acquisita

Abstract

AbstractEpidermolysis bullosa acquisita (EBA) is a chronic autoimmune subepidermal bullous disease with clinical features similar to the genetic form of dystrophic epidermolysis bullosa. EBA is characterized by the presence of autoantibodies against type VII collagen which is a major component of the anchoring fibrils at the dermal‐epidermal junction. EBA can be divided into two main clinical types; mechanobullous and inflammatory EBA. Mechanobullous EBA, referred to as classic EBA, presents with skin fragility, blisters and dystrophic changes on trauma‐prone areas. Inflammatory EBA resembles other autoimmune subepidermal bullous diseases. Compelling evidence from mouse models supports a pathogenic role of autoantibodies against type VII collagen in EBA. Treatment of EBA is often unsatisfactory. The most widely used systemic treatment is corticosteroids. Colchicine and dapsone have been reported to be good treatment modalities when combined with corticosteroids. Some intractable cases of EBA have successfully been treated with intravenous immunoglobulin or rituximab.

Country
Korea (Republic of)
Related Organizations
Keywords

Dapsone/therapeutic use, Collagen Type VII, Murine-Derived/therapeutic use, Immunoglobulins, 610, Autoimmune Diseases/etiology, Adrenal Cortex Hormones/therapeutic use, Epidermolysis Bullosa Acquisita, Antibodies, Autoimmune Diseases, Antibodies, Monoclonal, Murine-Derived, Mice, Autoimmune Diseases/diagnosis*, Adrenal Cortex Hormones, Monoclonal, 616, Animals, Humans, Autoantibodies, Epidermolysis Bullosa Acquisita/diagnosis*, Autoantibodies/metabolism, Collagen Type VII/immunology, Animal, Epidermolysis Bullosa Acquisita/etiology, Colchicine/therapeutic use, Immunoglobulins, Intravenous, Autoimmune Diseases/drug therapy*, Disease Models, Animal, Disease Models, Epidermolysis Bullosa Acquisita/drug therapy*, Intravenous/therapeutic use, Colchicine, Rituximab, Dapsone

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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
57
Top 10%
Top 10%
Top 10%
Green