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Linear IgA Disease

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Autoimmune Bullous Diseases

Abstract

Linear IgA disease (LAD) is a group of heterogeneous autoimmune subepidermal bullous diseases characterized by exclusively IgA autoantibodies targeting a component of the epidermal basement membrane zone. The lamina lucida-type LAD, also known as chronic bullous dermatosis of childhood, is a rare disease yet the most common autoimmune bullous disease among children with a peak incidence at 4–5 years of age. The major target antigens in lamina lucida-type LAD are 120 kDa LAD-1 antigen and its carboxyterminal proteolysed form 97 kDa LAD antigen 1 (LABD97). Both proteins are produced by cleavage of the extracellular domain of BP180, one of the main structural components of the hemidesmosome. The autoantigen targeted by IgA in the sublamina densa-type LAD, also known as IgA epidermolysis bullosa acquisita, is type VII collagen. In adults, LAD may also be drug induced.

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References

  1. Kasperkiewicz M, Zillikens D, Schmidt E. Pemphigoid diseases: pathogenesis, diagnosis, and treatment. Autoimmunity. 2012;45:55–70.

    Article  CAS  PubMed  Google Scholar 

  2. Lings K, Bygum A. Linear IgA bullous dermatosis: a retrospective study of 23 patients in Denmark. Acta Derm Venereol. 2015;95:466-71.

    Google Scholar 

  3. Jablonska S, Chorzelski TP, Rosinska D, Maciejowska E. Linear IgA bullous dermatosis of childhood (chronic bullous dermatosis of childhood). Clin Dermatol. 1991;9:393–401.

    Article  CAS  PubMed  Google Scholar 

  4. Zone JJ, Egan CA, Taylor TB, Meyer LJ. IgA autoimmune disorders: development of a passive transfer mouse model. J Investig Dermatol Symp Proc. 2004;9:47–51.

    Article  CAS  PubMed  Google Scholar 

  5. Egan CA, Zone JJ. Linear IgA bullous dermatosis. Int J Dermatol. 1999;38:818–27.

    Article  CAS  PubMed  Google Scholar 

  6. Chanal J, Ingen-Housz-Oro S, Ortonne N, Duong TA, Thomas M, Valeyrie-Allanore L, Lebrun-Vignes B, André C, Roujeau JC, Chosidow O, Wolkenstein P. Linear IgA bullous dermatosis: comparison between the drug-induced and spontaneous forms. Br J Dermatol. 2013;169:1041–8.

    Article  CAS  PubMed  Google Scholar 

  7. Wojnarowska F, Bhogal BS, Black MM. Chronic bullous disease of childhood and linear IgA disease of adults are IgA1-mediated diseases. Br J Dermatol. 1994;131:201–4.

    Article  CAS  PubMed  Google Scholar 

  8. Kuechle MK, Stegemeir E, Maynard B, Gibson LE, Leiferman KM, Peters MS. Drug-induced linear IgA bullous dermatosis: report of six cases and review of the literature. J Am Acad Dermatol. 1994;30:187–92.

    Article  CAS  PubMed  Google Scholar 

  9. Kasperkiewicz M, Schmidt E. Current treatment of autoimmune blistering diseases. Curr Drug Discov Technol. 2009;6:270–80.

    Article  CAS  PubMed  Google Scholar 

  10. Guide SV, Marinkovich MP. Linear IgA bullous dermatosis. Clin Dermatol. 2001;19:719–27.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Barbara Horváth MD, PhD .

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© 2016 Springer International Publishing Switzerland

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Horváth, B., Jonkman, M.F. (2016). Linear IgA Disease. In: Jonkman, M. (eds) Autoimmune Bullous Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-23754-1_18

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  • DOI: https://doi.org/10.1007/978-3-319-23754-1_18

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