Abstract. In humans and dogs, bullous pemphigoid (BP) is an autoimmune blistering disease associated with the production of basement membrane autoantibodies that target the 180-kd type XVII collagen (BP180, BPAG2) and/or the 230-kd plakin epidermal isoform BPAG1e (BP230). In two adult cats, an acquired dermatosis and stomatitis was diagnosed as BP subsequent to the fulfillment of the following criteria: 1) presence of cutaneous vesicles, erosions, and ulcers; 2) histologic demonstration of subepidermal vesiculation with inflammatory cells, including eosinophils; 3) in vivo deposition of IgG autoantibodies at the epidermal basement membrane zone; and 4) serum IgG autoantibodies targeting a 180-kd epidermal protein identified as type XVII collagen. In both cats, the antigenic epitopes targeted by IgG autoantibodies were shown to be situated in the NC16A ectodomain of type XVII collagen, a situation similar to that of humans and dogs with BP. Feline BP therefore can be considered a clinical, histopathologic, and immunologic homologue of BP in humans and dogs.Key words: Autoimmunity; BP180; BPAG2; cats; collagen XVII; epidermal basement membrane; pemphigoid; skin.In humans, the binding of autoantibodies to glycoproteins located in the epidermal basement membrane zone often results in cutaneous blistering. 23 Based on immunochemical and molecular characterization of targeted autoantigens, the nosology of human vesicobullous diseases currently is being revised. The denomination of bullous pemphigoid (BP) presently is restricted to those blistering dermatoses characterized by inflammatory skin blisters, microscopical neutrophil-and eosinophil-rich subepidermal vesicles, and autoantibodies that target one or both BP antigens. These antigens consist of the following hemidesmosomal proteins: a 230-kd plakin epidermal isoform (BPAG1e, BP230) and/or the 180-kd transmembrane type XVII collagen (BPAG2, BP180). 3 BP is the most common autoimmune subepidermal bullous dermatosis of humans; it is the diagnosis achieved in ϳ70% of patients exhibiting antibasement membrane autoantibodies. 5 Since 1976, anecdotal cases of dogs with blistering and erosive diseases associated with basement membrane-specific autoantibodies have been reported under the umbrella diagnosis of BP. 2,4,[9][10][11]14,15,20,28,[31][32][33][35][36][37] In these cases, the specific antigen(s) targeted by autoantibodies, however, was not determined. In 1995, the canine homologue of human BP was established with the demonstration of anti-BP180 autoimmunity in a dog with cutaneous vesicles. 17 The immunologic identity of canine and human BP was further strengthened with the recent demonstration that in both species circulating IgG autoantibodies target similar antigenic epitopes in the NC16A ectodomain of type XVII collagen (BP180). 7 However, during the last 20 years, feline cases of blistering dermatoses associated with antibasement membrane autoantibodies have not been reported.The purpose of the present study was to demonstrate the existence of the feline coun...