Abstract
Autoimmune bullous diseases comprise a heterogeneous group of disorders, which not only differ with regard to their immunological characteristics but also with regard to genetic and environmental predisposing factors. A strong association with HLA alleles was found in pemphigus, mucous membrane pemphigoid, pemphigoid gestationis and epidermolysis bullosa acquisita, whereas in bullous pemphigoid, this association appeared much less prominent. Recently, the first non-HLA genes have been associated with pemphigus vulgaris. In pemphigus vulgaris and foliaceus, the potential impact drugs, smoking and vaccination have been described, while in the endemic forms of pemphigus foliaceus, the role of environmental factors, including infectious agents, is emerging.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Ruocco V, Pisani M. Induced pemphigus. Arch Dermatol Res. 1982;274(1–2):123–40.
Wolf R, Tamir A, Brenner S. Drug-induced versus drug-triggered pemphigus. Dermatologica. 1991;182(4):207–10.
Brenner S, Bialy-Golan A, Ruocco V. Drug-induced pemphigus. Clin Dermatol. 1998;16(3):393–7.
Sebaratnam DF, Martin LK, Rubin AI, et al. Reversible relapse of pemphigus foliaceus triggered by topical imiquimod suggests that Toll-like receptor 7 inhibitors may be useful treatments for pemphigus. Clin Exp Dermatol. 2010;36(1):91–3.
Brenner S, Tur E, Shapiro J, et al. Pemphigus vulgaris: environmental factors. Occupational, behavioral, medical, and qualitative food frequency questionnaire. Int J Dermatol. 2001;40(9):562–9.
Valikhani M, Kavusi S, Chams-Davatchi C, et al. Pemphigus and associated environmental factors: a case-control study. Clin Exp Dermatol. 2007;32(3):256–60.
Mehta JN, Martin AG. A case of pemphigus vulgaris improved by cigarette smoking. Arch Dermatol. 2000;136(1):15–7.
Valikhani M, Kavusi S, Chams-Davatchi C, et al. Impact of smoking on pemphigus. Int J Dermatol. 2008;47(6):567–70.
Sullivan TP, Elgart GW, Kirsner RS. Pemphigus and smoking. Int J Dermatol. 2002;41(8):528–30.
Grando SA, Dahl MV. Nicotine and pemphigus. Arch Dermatol. 2000;136(10):1269.
Arnson Y, Shoenfeld Y, Amital H. Effects of tobacco smoke on immunity, inflammation and autoimmunity. J Autoimmun. 2010;34(3):J258–65.
Morell-Dubois S, Carpentier O, Cottencin O, et al. Stressful life events and pemphigus. Dermatology. 2008;216(2):104–8.
Bastuji-Garin S, Turki H, Mokhtar I, et al. Possible relation of Tunisian pemphigus with traditional cosmetics: a multicenter case-control study. Am J Epidemiol. 2002;155(3):249–56.
Micali G, Nasca MR, Musumeci ML, Innocenzi D. Postsurgical pemphigus. Dermatology. 1998;197(2):192–3.
Tur E, Brenner S. Contributing exogenous factors in pemphigus. Int J Dermatol. 1997;36(12):888–93.
Sinha AA. The genetics of pemphigus. Dermatol Clin. 2011;29(3):381–91, vii.
Tron F, Gilbert D, Joly P, et al. Immunogenetics of pemphigus: an update. Autoimmunity. 2006;39(7):531–9.
Sinha AA, Brautbar C, Szafer F, et al. A newly characterized HLA DQ beta allele associated with pemphigus vulgaris. Science. 1988;239(4843):1026–9.
Sinha AA, Lopez MT, McDevitt HO. Autoimmune diseases: the failure of self tolerance. Science. 1990;248(4961):1380–8.
Todd JA, Acha-Orbea H, Bell JI, et al. A molecular basis for MHC class II—associated autoimmunity. Science. 1988;240(4855):1003–9.
Scharf SJ, Friedmann A, Brautbar C, et al. HLA class II allelic variation and susceptibility to pemphigus vulgaris. Proc Natl Acad Sci U S A. 1988;85(10):3504–8.
Lee E, Lendas KA, Chow S, et al. Disease relevant HLA class II alleles isolated by genotypic, haplotypic, and sequence analysis in North American Caucasians with pemphigus vulgaris. Hum Immunol. 2006;67(1–2):125–39.
Yan L, Wang JM, Zeng K. Association between HLA-DRB1 polymorphism and pemphigus vulgaris: a meta-analysis. Br J Dermatol. 2012;167:768–77.
Bhanusali D, Sachdev A, Rahmanian A, et al. HLA-E*0103X is associated with susceptibility to pemphigus vulgaris. Exp Dermatol. 2013;22(2):108–12.
Sarig O, Bercovici S, Zoller L, et al. Population-specific association between a polymorphic variant in ST18, encoding a pro-apoptotic molecule, and pemphigus vulgaris. J Invest Dermatol. 2012;132(7):1798–805.
Yang J, Siqueira MF, Behl Y, Alikhani M, Graves DT. The transcription factor ST18 regulates proapoptotic and proinflammatory gene expression in fibroblasts. FASEB J. 2008;22(11):3956–67.
Torzecka JD, Narbutt J, Sysa-Jedrzejowska A, et al. Tumour necrosis factor-alpha polymorphism as one of the complex inherited factors in pemphigus. Mediators Inflamm. 2003;12(5):303–7.
Diaz LA, Sampaio SA, Rivitti EA, et al. Endemic pemphigus foliaceus (fogo selvagem): II. Current and historic epidemiologic studies. J Invest Dermatol. 1989;92(1):4–12.
Empinotti JC, Aoki V, Filgueira A, et al. Clinical and serological follow-up studies of endemic pemphigus foliaceus (fogo selvagem) in Western Parana, Brazil (2001–2002). Br J Dermatol. 2006;155(2):446–50.
Culton DA, Qian Y, Li N, et al. Advances in pemphigus and its endemic pemphigus foliaceus (Fogo Selvagem) phenotype: a paradigm of human autoimmunity. J Autoimmun. 2008;31(4):311–24.
Diaz LA, Arteaga LA, Hilario-Vargas J, et al. Anti-desmoglein-1 antibodies in onchocerciasis, leishmaniasis and Chagas disease suggest a possible etiological link to Fogo selvagem. J Invest Dermatol. 2004;123(6):1045–51.
Warren SJ, Lin MS, Giudice GJ, et al. The prevalence of antibodies against desmoglein 1 in endemic pemphigus foliaceus in Brazil. Cooperative Group on Fogo Selvagem Research. N Engl J Med. 2000;343(1):23–30.
Qian SX, Li JY, Hong M, Xu W, Qiu HX. Nonhematological autoimmunity (glomerulosclerosis, paraneoplastic pemphigus and paraneoplastic neurological syndrome) in a patient with chronic lymphocytic leukemia: diagnosis, prognosis and management. Leuk Res. 2008;33:500–5.
Qaqish BF, Prisayanh P, Qian Y, et al. Development of an IgG4-based predictor of endemic pemphigus foliaceus (fogo selvagem). J Invest Dermatol. 2009;129(1):110–8.
Li N, Aoki V, Hans-Filho G, Rivitti EA, Diaz LA. The role of intramolecular epitope spreading in the pathogenesis of endemic pemphigus foliaceus (fogo selvagem). J Exp Med. 2003;197(11):1501–10.
Moraes ME, Fernandez-Vina M, Lazaro A, et al. An epitope in the third hypervariable region of the DRB1 gene is involved in the susceptibility to endemic pemphigus foliaceus (fogo selvagem) in three different Brazilian populations. Tissue Antigens. 1997;49(1):35–40.
Bastuji-Garin S, Souissi R, Blum L, et al. Comparative epidemiology of pemphigus in Tunisia and France: unusual incidence of pemphigus foliaceus in young Tunisian women. J Invest Dermatol. 1995;104(2):302–5.
Abida O, Masmoudi A, Rebai A, et al. The familial feature of Tunisian endemic pemphigus foliaceus. Br J Dermatol. 2009;161(4):951–3.
Abida O, Zitouni M, Kallel-Sellami M, et al. Tunisian endemic pemphigus foliaceus is associated with the HLA-DR3 gene: anti-desmoglein 1 antibody-positive healthy subjects bear protective alleles. Br J Dermatol. 2009;161(3):522–7.
Joly P, Mokhtar I, Gilbert D, et al. Immunoblot and immunoelectron microscopic analysis of endemic Tunisian pemphigus. Br J Dermatol. 1999;140(1):44–9.
Kallel Sellami M, Zitouni M, Tombari W, et al. Anti-desmoglein-1 antibodies are prevalent in Tunisian patients with hydatidosis and leishmaniasis. Br J Dermatol. 2007;156(3):591–3.
Zaraa I, Boussoffara T, Ben Ahmed M, et al. Exposure to Phlebotomus papatasi and/or Leishmania major: possible etiologic link to Tunisian pemphigus. J Invest Dermatol. 2014;132(2):479–82.
Martel P, Loiseau P, Joly P, et al. Paraneoplastic pemphigus is associated with the DRB1*03 allele. J Autoimmun. 2003;20(1):91–5.
Liu Q, Bu DF, Li D, Zhu XJ. Genotyping of HLA-I and HLA-II alleles in Chinese patients with paraneoplastic pemphigus. Br J Dermatol. 2008;158(3):587–91.
Macfarlane AW, Verbov JL. Trauma-induced bullous pemphigoid. Clin Exp Dermatol. 1989;14(3):245–9.
Venning VA, Wojnarowska F. Induced bullous pemphigoid. Br J Dermatol. 1995;132(5):831–2.
Vassileva S, Mateev G, Balabanova M, Tsankov N. Burn-induced bullous pemphigoid. J Am Acad Dermatol. 1994;30(6):1027–8.
Emery EW, Hare PJ, Abadir R. Pemphigoid, bronchial neoplasm and radiotherapy. Proc R Soc Med. 1967;60(12):1271–2.
Mul VE, van Geest AJ, Pijls-Johannesma MC, et al. Radiation-induced bullous pemphigoid: a systematic review of an unusual radiation side effect. Radiother Oncol. 2007;82(1):5–9.
Lee CW, Ro YS. Sun-induced localized bullous pemphigoid. Br J Dermatol. 1992;126(1):91–2.
Sacher C, Konig C, Scharffetter-Kochanek K, Krieg T, Hunzelmann N. Bullous pemphigoid in a patient treated with UVA-1 phototherapy for disseminated morphea. Dermatology. 2001;202(1):54–7.
Perl S, Rappersberger K, Fodinger D, Anegg B, Honigsmann H, Ortel B. Bullous pemphigoid induced by PUVA therapy. Dermatology. 1996;193(3):245–7.
Rakvit P, Kerr AC, Ibbotson SH. Localized bullous pemphigoid induced by photodynamic therapy. Photodermatol Photoimmunol Photomed. 2011;27(5):251–3.
Walmsley N, Hampton P. Bullous pemphigoid triggered by swine flu vaccination: case report and review of vaccine triggered pemphigoid. J Dermatol Case Rep. 2011;5(4):74–6.
Garcia-Doval I, Mayo E, Nogueira Farina J, Cruces MJ. Bullous pemphigoid triggered by influenza vaccination? Ecological study in Galicia, Spain. Br J Dermatol. 2006;155(4):820–3.
Lee JJ, Downham 2nd TF. Furosemide-induced bullous pemphigoid: case report and review of literature. J Drugs Dermatol. 2006;5(6):562–4.
Bastuji-Garin S, Joly P, Lemordant P, et al. Risk Factors for bullous pemphigoid in the elderly: a prospective case-control study. J Invest Dermatol. 2010;131(3):637–43.
Bastuji-Garin S, Joly P, Picard-Dahan C, et al. Drugs associated with bullous pemphigoid. A case-control study. Arch Dermatol. 1996;132(3):272–6.
Delgado JC, Turbay D, Yunis EJ, et al. A common major histocompatibility complex class II allele HLA-DQB1* 0301 is present in clinical variants of pemphigoid. Proc Natl Acad Sci U S A. 1996;93(16):8569–71.
Budinger L, Borradori L, Yee C, et al. Identification and characterization of autoreactive T cell responses to bullous pemphigoid antigen 2 in patients and healthy controls. J Clin Invest. 1998;102(12):2082–9.
Banfield CC, Wojnarowska F, Allen J, George S, Venning VA, Welsh KI. The association of HLA-DQ7 with bullous pemphigoid is restricted to men. Br J Dermatol. 1998;138(6):1085–90.
Gao XH, Winsey S, Li G, et al. HLA-DR and DQ polymorphisms in bullous pemphigoid from northern China. Clin Exp Dermatol. 2002;27(4):319–21.
Okazaki A, Miyagawa S, Yamashina Y, Kitamura W, Shirai T. Polymorphisms of HLA-DR and -DQ genes in Japanese patients with bullous pemphigoid. J Dermatol. 2000;27(3):149–56.
Nayar M, Wojnarowska F, Venning V, Taylor CJ. Association of autoimmunity and cicatricial pemphigoid: is there an immunogenetic basis? J Am Acad Dermatol. 1991;25(6 Pt 1):1011–5.
Yunis JJ, Mobini N, Yunis EJ, et al. Common major histocompatibility complex class II markers in clinical variants of cicatricial pemphigoid. Proc Natl Acad Sci U S A. 1994;91(16):7747–51.
Drouet M, Delpuget-Bertin N, Vaillant L, et al. HLA-DRB1 and HLA-DQB1 genes in susceptibility and resistance to cicatricial pemphigoid in French Caucasians. Eur J Dermatol. 1998;8(5):330–3.
Setterfield J, Theron J, Vaughan RW, et al. Mucous membrane pemphigoid: HLA-DQB1*0301 is associated with all clinical sites of involvement and may be linked to antibasement membrane IgG production. Br J Dermatol. 2001;145(3):406–14.
Carrozzo M, Fasano ME, Broccoletti R, et al. HLA-DQB1 alleles in Italian patients with mucous membrane pemphigoid predominantly affecting the oral cavity. Br J Dermatol. 2001;145(5):805–8.
Chan LS, Hammerberg C, Cooper KD. Significantly increased occurrence of HLA-DQB1*0301 allele in patients with ocular cicatricial pemphigoid. J Invest Dermatol. 1997;108(2):129–32.
Haider N, Neuman R, Foster CS, Ahmed AR. Report on the sequence of DQB1*0301 gene in ocular cicatricial pemphigoid patients. Curr Eye Res. 1992;11(12):1233–8.
Ahmed AR, Foster S, Zaltas M, et al. Association of DQw7 (DQB1*0301) with ocular cicatricial pemphigoid. Proc Natl Acad Sci U S A. 1991;88(24):11579–82.
Mondino BJ, Brown SI, Rabin BS. HLA antigens in ocular cicatricial pemphigoid. Br J Ophthalmol. 1978;62(4):265–7.
Shornick JK, Stastny P, Gilliam JN. High frequency of histocompatibility antigens HLA-DR3 and DR4 in herpes gestations. J Clin Invest. 1981;68(2):553–5.
Shornick JK, Jenkins RE, Artlett CM, et al. Class II MHC typing in pemphigoid gestationis. Clin Exp Dermatol. 1995;20(2):123–6.
Garcia-Gonzalez E, Castro-Llamas J, Karchmer S, et al. Class II major histocompatibility complex typing across the ethnic barrier in pemphigoid gestationis. A study in Mexicans. Int J Dermatol. 1999;38(1):46–51.
Nanda A, Al-Saeed K, Dvorak R, et al. Clinicopathological features and HLA tissue typing in pemphigoid gestationis patients in Kuwait. Clin Exp Dermatol. 2003;28(3):301–6.
Shornick JK, Artlett CM, Jenkins RE, et al. Complement polymorphism in herpes gestationis: association with C4 null allele. J Am Acad Dermatol. 1993;29(4):545–9.
Holmes RC, Black MM, Dann J, James DC, Bhogal B. A comparative study of toxic erythema of pregnancy and herpes gestationis. Br J Dermatol. 1982;106(5):499–510.
Shornick JK, Stastny P, Gilliam JN. Paternal histocompatibility (HLA) antigens and maternal anti-HLA antibodies in herpes gestationis. J Invest Dermatol. 1983;81(5):407–9.
Shornick JK, Jenkins RE, Briggs DC, et al. Anti-HLA antibodies in pemphigoid gestationis (herpes gestationis). Br J Dermatol. 1993;129(3):257–9.
Borthwick GM, Sunderland CA, Holmes RC, Black MM, Stirrat GM. Abnormal expression of HLA-DR antigen in the placenta of a patient with pemphigoid gestationis. J Reprod Immunol. 1984;6(6):393–6.
Lin MS, Gharia MA, Swartz SJ, Diaz LA, Giudice GJ. Identification and characterization of epitopes recognized by T lymphocytes and autoantibodies from patients with herpes gestationis. J Immunol. 1999;162(8):4991–7.
Wojnarowska F, Marsden RA, Bhogal B, Black MM. Chronic bullous disease of childhood, childhood cicatricial pemphigoid, and linear IgA disease of adults. A comparative study demonstrating clinical and immunopathologic overlap. J Am Acad Dermatol. 1988;19(5 Pt 1):792–805.
Godfrey K, Wojnarowska F, Leonard J. Linear IgA disease of adults: association with lymphoproliferative malignancy and possible role of other triggering factors. Br J Dermatol. 1990;123(4):447–52.
Shimanovich I, Rose C, Sitaru C, Brocker EB, Zillikens D. Localized linear IgA disease induced by ampicillin/sulbactam. J Am Acad Dermatol. 2004;51(1):95–8.
Nousari HC, Kimyai-Asadi A, Caeiro JP, Anhalt GJ. Clinical, demographic, and immunohistologic features of vancomycin-induced linear IgA bullous disease of the skin. Report of 2 cases and review of the literature. Medicine (Baltimore). 1999;78(1):1–8.
Billet SE, Kortuem KR, Gibson LE, El-Azhary R. A morbilliform variant of vancomycin-induced linear IgA bullous dermatosis. Arch Dermatol. 2008;144(6):774–8.
Onodera H, Mihm Jr MC, Yoshida A, Akasaka T. Drug-induced linear IgA bullous dermatosis. J Dermatol. 2005;32(9):759–64.
Collier PM, Wojnarowska F. Drug-induced linear immunoglobulin A disease. Clin Dermatol. 1993;11(4):529–33.
Girao L, Fiadeiro T, Rodrigues JC. Burn-induced linear IgA dermatosis. J Eur Acad Dermatol Venereol. 2000;14(6):507–10.
Alberta-Wszolek L, Mousette AM, Mahalingam M, Levin NA. Linear IgA bullous dermatosis following influenza vaccination. Dermatol Online J. 2009;15(11):3.
Salmhofer W, Soyer HP, Wolf P, Fodinger D, Hodl S, Kerl H. UV light-induced linear IgA dermatosis. J Am Acad Dermatol. 2004;50(1):109–15.
Collier PM, Wojnarowska F, Welsh K, McGuire W, Black MM. Adult linear IgA disease and chronic bullous disease of childhood: the association with human lymphocyte antigens Cw7, B8, DR3 and tumour necrosis factor influences disease expression. Br J Dermatol. 1999;141(5):867–75.
Gammon WR, Heise ER, Burke WA, Fine JD, Woodley DT, Briggaman RA. Increased frequency of HLA-DR2 in patients with autoantibodies to epidermolysis bullosa acquisita antigen: evidence that the expression of autoimmunity to type VII collagen is HLA class II allele associated. J Invest Dermatol. 1988;91(3):228–32.
Zumelzu C, Le Roux-Villet C, Loiseau P, et al. Black patients of African descent and HLA-DRB1*15:03 frequency overrepresented in epidermolysis bullosa acquisita. J Invest Dermatol. 2011;131(12):2386–93.
Lee CW, Kim SC, Han H. Distribution of HLA class II alleles in Korean patients with epidermolysis bullosa acquisita. Dermatology. 1996;193(4):328–9.
Ludwig RJ, Muller S, Marques A, et al. Identification of quantitative trait loci in experimental epidermolysis bullosa acquisita. J Invest Dermatol. 2012;132(5):1409–15.
Ludwig RJ, Recke A, Bieber K, et al. Generation of antibodies of distinct subclasses and specificity is linked to H2s in an active mouse model of epidermolysis bullosa acquisita. J Invest Dermatol. 2011;131(1):167–76.
Delbaldo C, Chen M, Friedli A, et al. Drug-induced epidermolysis bullosa acquisita with antibodies to type VII collagen. J Am Acad Dermatol. 2002;46(5 Suppl):S161–4.
Jappe U, Zillikens D, Bonnekoh B, Gollnick H. Epidermolysis bullosa acquisita with ultraviolet radiation sensitivity. Br J Dermatol. 2000;142(3):517–20.
Baican A, Chiriac G, Baican C, et al. Metal sensitization precipitates skin blistering in epidermolysis bullosa acquisita. J Dermatol. 2010;37(3):280–2.
Karell K, Korponay-Szabo I, Szalai Z, et al. Genetic dissection between coeliac disease and dermatitis herpetiformis in sib pairs. Ann Hum Genet. 2002;66(Pt 5–6):387–92.
Meyer LJ, Zone JJ. Familial incidence of dermatitis herpetiformis. J Am Acad Dermatol. 1987;17(4):643–7.
Collin P, Reunala T. Recognition and management of the cutaneous manifestations of celiac disease: a guide for dermatologists. Am J Clin Dermatol. 2003;4(1):13–20.
Marks J, Shuster S, Watson AJ. Small-bowel changes in dermatitis herpetiformis. Lancet. 1966;2(7476):1280–2.
Hervonen K, Karell K, Holopainen P, Collin P, Partanen J, Reunala T. Concordance of dermatitis herpetiformis and celiac disease in monozygous twins. J Invest Dermatol. 2000;115(6):990–3.
Hervonen K, Hakanen M, Kaukinen K, Collin P, Reunala T. First-degree relatives are frequently affected in coeliac disease and dermatitis herpetiformis. Scand J Gastroenterol. 2002;37(1):51–5.
Spurkland A, Ingvarsson G, Falk ES, Knutsen I, Sollid LM, Thorsby E. Dermatitis herpetiformis and celiac disease are both primarily associated with the HLA-DQ (alpha 1*0501, beta 1*02) or the HLA-DQ (alpha 1*03, beta 1*0302) heterodimers. Tissue Antigens. 1997;49(1):29–34.
Marietta E, Black K, Camilleri M, et al. A new model for dermatitis herpetiformis that uses HLA-DQ8 transgenic NOD mice. J Clin Invest. 2004;114(8):1090–7.
Amundsen SS, Monsuur AJ, Wapenaar MC, et al. Association analysis of MYO9B gene polymorphisms with celiac disease in a Swedish/Norwegian cohort. Hum Immunol. 2006;67(4–5):341–5.
Koskinen LL, Korponay-Szabo IR, Viiri K, et al. Myosin IXB gene region and gluten intolerance: linkage to coeliac disease and a putative dermatitis herpetiformis association. J Med Genet. 2008;45(4):222–7.
Monsuur AJ, de Bakker PI, Alizadeh BZ, et al. Myosin IXB variant increases the risk of celiac disease and points toward a primary intestinal barrier defect. Nat Genet. 2005;37(12):1341–4.
Wolters VM, Verbeek WH, Zhernakova A, et al. The MYO9B gene is a strong risk factor for developing refractory celiac disease. Clin Gastroenterol Hepatol. 2007;5(12):1399–405, 405 e1–2.
Hunt KA, Zhernakova A, Turner G, et al. Newly identified genetic risk variants for celiac disease related to the immune response. Nat Genet. 2008;40(4):395–402.
van Heel DA, Franke L, Hunt KA, et al. A genome-wide association study for celiac disease identifies risk variants in the region harboring IL2 and IL21. Nat Genet. 2007;39(7):827–9.
Miyagawa S, Higashimine I, Iida T, Yamashina Y, Fukumoto T, Shirai T. HLA-DRB1*04 and DRB1*14 alleles are associated with susceptibility to pemphigus among Japanese. J Invest Dermatol. 1997;109(5):615–8.
Lombardi ML, Mercuro O, Ruocco V, et al. Common human leukocyte antigen alleles in pemphigus vulgaris and pemphigus foliaceus Italian patients. J Invest Dermatol. 1999;113(1):107–10.
Loiseau P, Lecleach L, Prost C, et al. HLA class II polymorphism contributes to specify desmoglein derived peptides in pemphigus vulgaris and pemphigus foliaceus. J Autoimmun. 2000;15(1):67–73.
del Mar Saez-de-Ocariz M, Vega-Memije ME, Zuniga J, et al. HLA-DRB1*0101 is associated with foliaceus pemphigus in Mexicans. Int J Dermatol. 2005;44(4):350.
Brick C, Belgnaoui FZ, Atouf O, et al. Pemphigus and HLA in Morocco. Transfus Clin Biol. 2007;14(4):402–6.
Acknowledgement
This work was supported by the Excellence Cluster “Inflammation at Interfaces” (EXC306/1; to E.S), the European Community’s FP7 (Coordination Theme 1-HEALTH-F2–2008–200515) and the Swiss National Foundation for Scientific Research (31003A-121966 and 31003A-09811; both to L.B.).
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Schmidt, E., Borradori, L., Sprecher, E., Marinovic, B., Sinha, A.A., Joly, P. (2015). Genetic and Environmental Risk Factors of Autoimmune Bullous Diseases. In: Murrell, D. (eds) Blistering Diseases. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-45698-9_13
Download citation
DOI: https://doi.org/10.1007/978-3-662-45698-9_13
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-45697-2
Online ISBN: 978-3-662-45698-9
eBook Packages: MedicineMedicine (R0)