Pemphigus herpetiformis is an autoimmune bullous disease, that combines clinical
features of dermatitis herpetiformis and linear IgA bullous dermatosis and
immunological characteristics of pemphigus, which makes this disease peculiar
and this diagnosis rarely suspected in the first evaluation of the patient. The
reported case is of a patient with clinically bullous disease similar to
dermatitis herpetiformis, whose multiple biopsies were inconclusive, and only
after direct immunofluorescence with a pemphigus pattern (intraepidermal
intercellular pattern) the confirmation of the diagnosis was possible.
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