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Case Reports
. 2013 Apr;4(2):115-8.
doi: 10.4103/2229-5178.110637.

Linear IgA disease in an adult with unusual clinical features

Rajesh Verma  1 , Biju Vasudevan, Vijendran Pragasam, Disha Dabbas
Affiliations
Case Reports

Linear IgA disease in an adult with unusual clinical features

Rajesh Verma et al. Indian Dermatol Online J. 2013 Apr.

Abstract

A 19-year-old male presented with complaints of fluid-filled lesions on the body of 2 weeks duration. On examination, he was found to have multiple tense bullae distributed on the flexures, face, and genitalia with associated oral ulcers and "cluster of jewels" sign. The diagnosis was confirmed by histopathology and direct immunofluorescence. There are very few reports of linear IgA earlier from India according to the literature available so far, that too from the Southern part of the country. The patient had bullous pemphigoid-like lesions typically seen in adults, but the distribution of lesions was akin to that of the "chronic bullous disease of childhood variant" found in children. This case has been reported for rarity in this region and also because the patient had atypical morphology and distribution of lesions.

Keywords: Dapsone; immunofluorescence; linear IgA.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
Bullae and erosions on genitalia and crural regions
Figure 2
Figure 2
Bullae on the left crural region
Figure 3
Figure 3
Cluster of jewels’ appearance on the right crural region
Figure 4
Figure 4
Urticarial lesions on the back
Figure 5
Figure 5
Histopathology of skin lesions revealing subepidermal split. H and E, ×10 magnification
Figure 6
Figure 6
Direct immunofluorescence revealing linear IgA deposition
Figure 7
Figure 7
Complete healing of lesions on crural and genitalia
See this image and copyright information in PMC

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