
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Pemphigus foliaceus
Introduction
Overview
Overview
Pemphigus foliaceus is an autoimmune blistering disease of the skin with characteristic lesions that are scaly, crusted erosions, often on an erythematous base.[1] Mucosal involvement is absent even with widespread disease.[2]:423
If there is an autoimmune IgG buildup in the epidermis, then nearly almost all of the antibodies are aimed against desmoglein 1. The effect of the antibodies and the immunological pathway is most likely either of three mechanisms:
- Steric hindrance of the desmoglein 1: The antibody caps off the site for intracellular binding to another keratinocyte.
- Activation of an endocytic pathway: The antibody activates a pathway which causes an internalization of desmogleΓ―n 1, which in turn causes a loss of adhesion.
- Disruption of function: In this case, the antibody blocks the desmoglein 1 from being formed into a desmosome. This in turn causes a loss of adhesion with acantholysis as a result.
Distribution
Distribution
Pemphigus is endemic in the rural areas of Brazil, especially along inland riverbeds.[1]
Diagnosis
Diagnosis
Physical Examination
Skin
Face
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
Trunk
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
Extremity
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
Pemphigus foliaceus-localized form
Face
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Pemphigus foliaceus-localized form. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus-localized form. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
Trunk
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
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Pemphigus foliaceus. With permission from Dermatology Atlas.[4]
References
References
- β 1.0 1.1 Freedberg, et al. (2003). Fitzpatrick’s Dermatology in General Medicine. (6th ed.). Page 558-562. McGraw-Hill. ISBN 0-07-138076-0.
- β Rapini, Ronald P.; Bolognia, Jean L.; Jorizzo, Joseph L. (2007). Dermatology: 2-Volume Set. St. Louis: Mosby. ISBNΒ 1-4160-2999-0.
- β Medscape Reference
- β 4.00 4.01 4.02 4.03 4.04 4.05 4.06 4.07 4.08 4.09 4.10 4.11 4.12 4.13 4.14 4.15 4.16 4.17 4.18 4.19 4.20 4.21 4.22 4.23 4.24 4.25 4.26 4.27 4.28 4.29 4.30 4.31 4.32 4.33 4.34 4.35 4.36 4.37 4.38 4.39 4.40 4.41 4.42 4.43 4.44 4.45 4.46 4.47 4.48 4.49 “Dermatology Atlas”.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Kiran Singh, M.D. [2]

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