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线性 IgA 大疱性皮肤病可能由疫苗接种引发。

Linear IGA bullous dermatosis potentially triggered by vaccination.

机构信息

Section of Dermatology, Department of Health Sciences, University of Florence, Florence, Italy.

Dermatology Unit, Versilia Hospital, USL Toscana Nord-Ovest, Lido di Camaiore, Lucca, Italy.

出版信息

Int J Immunopathol Pharmacol. 2022 Jan-Dec;36:20587384211021218. doi: 10.1177/20587384211021218.

DOI:10.1177/20587384211021218
PMID:35001680
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8753231/
Abstract

Linear IgA bullous dermatosis (LABD) is a mucocutaneous autoimmune blistering disease affecting both adults and children. It is caused by IgA antibodies targeting multiple antigens along the basement membrane zone, leading to disruption of dermoepidermal junction and development of bullous lesions which often presents in characteristic arrangement. Although most LABD cases have been reported to be idiopathic, different triggers have been described, including several drugs and infection. However, the occurrence of vaccine-induced cases of LABD is not widely known and accepted due to the few reports available. We present two cases of LABD occurred following different triggers, rising the suspicion for a possible pathogenetic role of vaccines.

摘要

线性 IgA 大疱性皮病(LABD)是一种影响成人和儿童的黏膜皮肤自身免疫性大疱性疾病。它是由 IgA 抗体针对基底膜带中的多种抗原引起的,导致表皮与真皮连接处的破坏和大疱性病变的发展,这些病变通常呈特征性排列。尽管大多数 LABD 病例被报道为特发性的,但已经描述了不同的触发因素,包括几种药物和感染。然而,由于报道较少,疫苗引起的 LABD 病例的发生并不广为人知和接受。我们报告了两例不同诱因引起的 LABD 病例,这引起了对疫苗可能具有致病作用的怀疑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f10/8753231/edc730a9bac2/10.1177_20587384211021218-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f10/8753231/8b8e673c9dbf/10.1177_20587384211021218-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f10/8753231/edc730a9bac2/10.1177_20587384211021218-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f10/8753231/8b8e673c9dbf/10.1177_20587384211021218-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f10/8753231/edc730a9bac2/10.1177_20587384211021218-fig2.jpg

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本文引用的文献

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Autoantibody Profile of a Cohort of 54 Italian Patients with Linear IgA Bullous Dermatosis: LAD-1 Denoted as a Major Auto-antigen of the Lamina Lucida Subtype.54 例意大利线性 IgA 大疱性皮病患者的自身抗体谱:LAD-1 被标记为板层素 lucida 亚类的主要自身抗原。
Acta Derm Venereol. 2020 Feb 29;100(4):adv00070. doi: 10.2340/00015555-3415.
2
Linear IgA bullous dermatosis in adults and children: a clinical and immunopathological study of 38 patients.成人和儿童线性 IgA 大疱性皮病:38 例患者的临床和免疫病理学研究。
Orphanet J Rare Dis. 2019 May 24;14(1):115. doi: 10.1186/s13023-019-1089-2.
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Linear IgA Bullous Dermatosis: A Series of 17 Cases.
mRNA COVID-19 加强疫苗诱导的嗜酸性粒细胞丰富的线性 IgA 大疱性皮肤病。
J Cutan Pathol. 2023 Jan;50(1):24-28. doi: 10.1111/cup.14305. Epub 2022 Aug 23.
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Linear Immunoglobulin a Bullous Dermatosis in Children.儿童线状免疫球蛋白A大疱性皮肤病
Front Pediatr. 2022 Jul 8;10:937528. doi: 10.3389/fped.2022.937528. eCollection 2022.
线状IgA大疱性皮肤病:17例病例系列
Actas Dermosifiliogr (Engl Ed). 2019 Oct;110(8):673-680. doi: 10.1016/j.ad.2018.06.017. Epub 2019 Apr 20.
4
Cephalosporin-induced linear IgA dermatosis in a child: Case report and literature review.头孢菌素诱导的儿童线性 IgA 皮肤病:病例报告及文献复习。
Dermatol Ther. 2019 Jul;32(4):e12927. doi: 10.1111/dth.12927. Epub 2019 Jun 3.
5
Drug-induced linear immunoglobulin A bullous dermatosis: A French retrospective pharmacovigilance study of 69 cases.药物诱导的线性免疫球蛋白 A 大疱性皮肤病:法国回顾性药物警戒研究 69 例。
Br J Clin Pharmacol. 2019 Mar;85(3):570-579. doi: 10.1111/bcp.13827. Epub 2019 Jan 4.
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