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Volume 20
Issue 3
10.3390/ijerph20032524
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Communication

Immunopathological Assessment of the Oral Mucosa in Dermatitis Herpetiformis

by
Agnieszka Mania-Końsko
1,*,
Elżbieta Szponar
1,
Aleksandra Dańczak-Pazdrowska
2,
Monika Bowszyc-Dmochowska
2,
Jakub Pazdrowski
3 and
Marzena Wyganowska
1
1
Department of Dental Surgery, Periodontology and Oral Mucosa Diseases, Poznan University of Medical Sciences, 70, Bukowska St., 60-812 Poznań, Poland
2
Department of Dermatology, Poznan University of Medical Sciences, 49, Przybyszewskiego St., 61-701 Poznań, Poland
3
The Maria Skłodowska-Curie Greater Poland Cancer Center, Department of Head and Neck Surgery, Poznan University of Medical Sciences, Garbary St., 61-701 Poznań, Poland
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2023, 20(3), 2524; https://doi.org/10.3390/ijerph20032524
Submission received: 30 December 2022 / Revised: 19 January 2023 / Accepted: 27 January 2023 / Published: 31 January 2023
(This article belongs to the Special Issue Oral Inflammation and Chronic Autoimmune Diseases)
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Abstract

Dermatitis herpetiformis (Duhring’s disease, DH) is a chronic blistering cutaneous condition with pruritic polymorphic lesions, consisting of vesicles, papules or nodules and erythema, found predominantly on the extensor surfaces of the limbs, buttocks, and neck. Diagnosis is based on characteristic clinical and immunopathological findings. Oral manifestations of DH have rarely been described. The aim of the study was to evaluate IgA, IgG, IgM and C3 complement deposits in the oral mucosa in DH patients. Direct immunofluorescence (DIF) was performed on the oral mucosa specimens collected from 10 DH patients. Biopsy was taken in a local anesthesia from perilesional site from the buccal mucosa and then preserved in a standard procedure using polyclonal rabbit IgG, IgA, IgM and C3 antibodies. Granular IgA and C3 deposits were found in 6 patients (60%), and in 3 subjects (30%) the result was indeterminate. Significant fluorescence of the deposits along the basement membrane was observed in 2 patients, moderate fluorescence in 3 patients, and in 4 cases the result was indeterminate. C3 deposits were found in 5 subjects (50%), 3 of them being moderate and 2 indeterminate. No IgM and IgG deposits were detected in the collected buccal mucosa specimens.
Keywords: dermatitis herpetiformis; oral mucosa lesions; immunodiagnostics; direct immunofluorescence dermatitis herpetiformis; oral mucosa lesions; immunodiagnostics; direct immunofluorescence

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MDPI and ACS Style

Mania-Końsko, A.; Szponar, E.; Dańczak-Pazdrowska, A.; Bowszyc-Dmochowska, M.; Pazdrowski, J.; Wyganowska, M. Immunopathological Assessment of the Oral Mucosa in Dermatitis Herpetiformis. Int. J. Environ. Res. Public Health 2023, 20, 2524. https://doi.org/10.3390/ijerph20032524

AMA Style

Mania-Końsko A, Szponar E, Dańczak-Pazdrowska A, Bowszyc-Dmochowska M, Pazdrowski J, Wyganowska M. Immunopathological Assessment of the Oral Mucosa in Dermatitis Herpetiformis. International Journal of Environmental Research and Public Health. 2023; 20(3):2524. https://doi.org/10.3390/ijerph20032524

Chicago/Turabian Style

Mania-Końsko, Agnieszka, Elżbieta Szponar, Aleksandra Dańczak-Pazdrowska, Monika Bowszyc-Dmochowska, Jakub Pazdrowski, and Marzena Wyganowska. 2023. "Immunopathological Assessment of the Oral Mucosa in Dermatitis Herpetiformis" International Journal of Environmental Research and Public Health 20, no. 3: 2524. https://doi.org/10.3390/ijerph20032524

APA Style

Mania-Końsko, A., Szponar, E., Dańczak-Pazdrowska, A., Bowszyc-Dmochowska, M., Pazdrowski, J., & Wyganowska, M. (2023). Immunopathological Assessment of the Oral Mucosa in Dermatitis Herpetiformis. International Journal of Environmental Research and Public Health, 20(3), 2524. https://doi.org/10.3390/ijerph20032524

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