Linear IgA disease histopathologically and clinically masquerading as lichen planus

D. M. Cohen, I. Bhattacharyya, Susan Zunt, C. E. Tomich

Research output: Contribution to journalArticle

20 Citations (Scopus)

Abstract

In each of 2 cases reported, the patient presented with features of erosive lichen planus or lichenoid drug eruptions and an incisional biopsy taken from the patient was diagnosed histologically as lichen planus. Subsequent recurrences or exacerbations were associated with vesiculobullous lesions. Simultaneous or subsequent direct immunofluorescence studies -from the same tissue sample in one case and from a similar site in the other case - demonstrated classic features of linear IgA disease. Both patients were originally treated for lichen planus with systemic and/or topical corticosteroids with limited success. One patient was treated with sulfapyridine with minimal improvement. Both patients were subsequently treated with dapsone and demonstrated significant clinical improvement. We propose that linear IgA disease may be more common than reported in the oral cavity, inasmuch as many cases of recalcitrant lichen planus, erosive lichen planus, and lichenoid drug eruptions, especially those with a vesiculobullous component, may in reality represent linear IgA disease. We recommend that direct immunofluorescence be done in any case in which bullous lichen planus is suspected.

Original languageEnglish (US)
Pages (from-to)196-201
Number of pages6
JournalOral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics
Volume88
Issue number2
StatePublished - 1999

Fingerprint

Lichen Planus
Immunoglobulin A
Lichenoid Eruptions
Drug Eruptions
Direct Fluorescent Antibody Technique
Sulfapyridine
Dapsone
Mouth
Adrenal Cortex Hormones
Biopsy
Recurrence

ASJC Scopus subject areas

  • Pathology and Forensic Medicine
  • Radiology Nuclear Medicine and imaging
  • Surgery
  • Dentistry(all)

Cite this

Linear IgA disease histopathologically and clinically masquerading as lichen planus. / Cohen, D. M.; Bhattacharyya, I.; Zunt, Susan; Tomich, C. E.

In: Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics, Vol. 88, No. 2, 1999, p. 196-201.

Research output: Contribution to journalArticle

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