Table 12.
Investigation | Finding |
---|---|
Clinic | Polymorphic picture with erythema, blisters, erosions on skin and mucosa |
Histology | Subepidermal blisters, neutrophils accumulating at the papillary tips |
Direct immunofluorescence microscopy | Linear IgA deposits at the dermo-epidermal junction |
Indirect immunofluorescence microscopy (salt-split-skin) | Binding of IgA autoantibodies to the epidermal side |
ELISA / Immunoblot | IgA against the shed ectodomain of BP180 (LAD-1) |