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Case Reports
. 2017 Aug 30;3(5):404-406.
doi: 10.1016/j.jdcr.2017.06.004. eCollection 2017 Sep.

Localized bullous pemphigoid in a melanoma patient with dual exposure to PD-1 checkpoint inhibition and radiation therapy

Affiliations
Case Reports

Localized bullous pemphigoid in a melanoma patient with dual exposure to PD-1 checkpoint inhibition and radiation therapy

Kelsey Hirotsu et al. JAAD Case Rep. .
No abstract available

Keywords: BP, bullous pemphigoid; PD-1, programmed cell-death receptor 1; bullous pemphigoid; programmed cell death receptor 1 inhibition; radiation.

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Figures

Fig 1
Fig 1
Clinical photograph of tense bullae localized to irradiated skin after anti–PD-1 therapy and radiation for in-transit cutaneous metastases to the thigh.
Fig 2
Fig 2
Hematoxylin-eosin staining (A) and direct immunofluorescence on salt-split perilesional skin biopsy (B), both 100×-hematoxylin-eosin. Microscopic examination found subepidermal blister formation with numerous eosinophils in the blister cavity and a superficial dermal infiltrate consisting primarily of eosinophils. Periodic acid–Schiff stain was negative. Direct immunofluorescence studies on salt-split showed 2+ linear staining of IgG at the dermoepidermal junction.

References

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