Table 8.
Investigation | Finding |
---|---|
Clinic | Vesiculopustular eruption. |
Histology | Intraepidermal pustules with low acantholysis and neutrophilic infiltrates in the epidermis and upper dermis |
Direct immunofluorescence (IF) microscopy | Epidermal IgA deposits with an intercellular pattern |
Indirect IF microscopy (esophagus) | Binding of IgA autoantibodies to epithelial cells with an intercellular pattern |
Indirect IF microscopy (desmocollin-transfected COS-7 cells)/ELISA | IgA autoantibodies against desmocollins 1-3 |