bullous pemphigoid treatment diet

How Processed Meat and Refined Carbs Can Increase Your Risk of Type 2 Diabetes, People With Type 2 Diabetes May Live Longer by Giving Up Sugary Drinks, feeling the need to urinate despite having an empty bladder, swelling of your mouth, tongue, or throat, which can make it hard to breathe, a product you apply to your skin, such as, what dose of the drug you were taking when you had the side effect, how soon you had the side effect after starting that dose, how your symptoms affected your daily activities, any other information you feel is important. Symptoms of heart failure to report to your doctor include: Before prescribing Onglyza, your doctor will evaluate your risk factors for heart disease. If you have symptoms of a serious allergic reaction, such as swelling, trouble breathing, or severe skin inflammation, call 911 or your local emergency number immediately. Be sure to tell your dermatologist, as some treatments, surgeries, and medications can trigger bullous pemphigoid. Taking these will help prevent osteoporosis. Reviewed by: If your doctor confirms youve had a serious allergic reaction to Onglyza, they may have you switch to a different treatment. Usually a team of medical specialists are required for overall care. 2009 May;2(5):19-28. Avoid acidic foods, including hot peppers, salsa, citrus fruits and tomatoes. But unmanaged diabetes during pregnancy is known to be unsafe for both the pregnant person and the fetus. Based on how severe your skin condition is, treatment can last anywhere from 6 months to 5 years. They may order urine tests to learn which bacteria caused the infection. It most commonly appears on your: The blisters typically appear along the creases of your skin. It's an autoimmune disease. Sometimes, this disease goes away without treatment and the person never develops blisters again. For a few patients, remission begins 9 weeks after starting treatment. Both pemphigus vulgaris and bullous pemphigoid are autoimmune conditions that affect your skin and . A medium or high dose usually is needed at first. Lidocaine, which is an effective painkiller for people suffering from bullous . doi: 10.1111/j.1365-2133.2011.10386.x. Stopping treatment may cause your symptoms to return and you may feel sick. While we read all feedback, we cannot answer any questions. However, theres currently no good scientific evidence to support that certain foods trigger bullous pemphigoid. Eating bland, soft foods. Before taking an immunosuppressant, make sure your vaccinations are up to date. Sometime try Bullous Pemphigoid Herbal Treatment include some home remedies and herbal remedies can control Bullous Pemphigoid. arrow-right-small-blue Advertising on our site helps support our mission. Bullous pemphigoid appears as itchy welts that look like hives or multiple, itchy blisters (bullae). Monoclonal antibodies targeting IgE (such as omalizumab),IL-17 (such as secukinumab), IL-5 (mepolixumab), eotaxin-1 (bertilumumab),complement-specific serine protease C1(sutimlimab)and other mediators are under investigation for the treatment of bullous pemphigoid. Wash your sores or ulcers with antibacterial soap and water to prevent infection. If you have any questions, contact a member of your care team directly. Accessed Oct. 4, 2018. Step 4: systemic steroids for moderate-severe bullous pemphigoid Systemic steroids are the mainstay of treatment. Last accessed 7/9/2021. A blood test. Steroid creams and tablets can be used together to treat bullous pemphigoid. Treatment usually helps heal the blisters and ease any itching. They are associated with the hemidesmosomes, structures that ensure the epidermal keratinocyte cells stick to the dermis to make a waterproof seal. Additional immunomodulatory therapies are often added to minimize the adverse effects of chronic corticosteroid therapy or to augment improvement in the disease. Ivy Lee, MD, FAAD N.H. ANSWER: A vitamin D level greater than 60 is higher than optimal, and I agree that you should cut down on your supplements. Accessed Sept. 19, 2018. As systemic treatment may be required for bullous pemphigoid for long periods, the extent and severity of the disease should be recorded carefully at baseline and follow-up appointments. Pemphigus vulgaris almost always starts on the mucous membranes inside of your mouth. Bullous pemphigoid. Allergic reaction. What are the more common side effects of Onglyza? This content does not have an English version. It causes large fluid-filled blisters to form on your skin. Major side effects of systemic glucocorticoids. Treatment. These dermatologists' tips tell you how to protect your skin. These include: In most cases, these side effects should be temporary. Ask a coach Connect with others who have pemphigus. The signs and symptoms of bullous pemphigoid may include: The blisters occur because of a malfunction in your immune system. Heart failure is a possible severe side effect of Onglyza. DermNet does not provide an online consultation service. You want to avoid hard foods like chips, chunky peanut butter, nuts, crisp vegetables like raw carrots, and fruit. The amount of time you need to treat bullous pemphigoid will depend on how severe the disease is and your response to treatment. Dear Dr. Roach: I have had an autoimmune disease called bullous pemphigoid for the past four years. Although the exact Causes of Bullous Pemphigoid are not well unstated, it is believed these blisters occur because of a malfunction in your immune system. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Our website services, content, and products are for informational purposes only. They develop on areas of skin that often flex such as the lower abdomen, upper thighs or armpits. While it is true that there is no exact Bullous Pemphigoid diet, there are some different foods that can trigger off an outbreak if you are suffering from the disorder. Everyones disease activity varies. Your body's immune system normally produces antibodies to fight bacteria, viruses or other potentially harmful foreign substances. Frequently it affects the skin around skin folds. If youre concerned about Onglyzas effect on your weight, talk with your doctor. Its possible to get it again, but its usually less severe. It is about becoming an expert on you. To confirm the diagnosis, your doctor may order blood tests and take a small sample of the affected skin (skin biopsy) for laboratory testing. If youre in poor health and your blisters pop and become infected, bullous pemphigoid may be fatal. Non-steroidal anti-inflammatory drugs (NSAIDs). Mild side effects have been reported with Onglyza. Corticosteroid ointment can be rubbed on your affected skin and causes fewer side effects. blue discoloration of the fingers and lips, den8dhaj6zs0e.cloudfront.net/50fd68b9-106b-4550-b5d0-12b045f8b184/de0471a3-4380-4b0f-9d3f-799e7cbb5e78/de0471a3-4380-4b0f-9d3f-799e7cbb5e78_viewable_rendition__v.pdf, Understanding Type 2 Diabetes Treatment Options, The State of Type 2 Diabetes: When Health Becomes a Full-Time Job. If you have questions about your care, contact your healthcare provider. Bullous pemphigoid mainly affects people over 60. Not a lot of people are aware of the importance of sufficient pemphigus food, because it is a skin disorder. Instead, the fluid is absorbed into your body and the top of the blister settles back down on your skin. Onglyza may not be right for you if you have certain medical conditions. Onglyza comes as a tablet you swallow. If you have questions about side effects this drug can cause, talk with your doctor. Many medicines taken to control the pemphigus also increase your risk of getting an infection because the medicines suppress your immune system. Examples of the drugs commonly reported side effects include: * To learn more about this side effect, see the Side effects explained section below. This patch of skin will heal within 7 to 10 days. Other tests will relate to planning and monitoring treatment. The drug information contained herein is subject to change and is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Any area of your skin can be affected, but blisters often appear on your: There may be more blisters on certain parts of your body than others, such as your lower leg. What is your opinion? Policy. If steroids dont help your symptoms, your healthcare provider may treat you with other medications. Treatment for more severe blistering is usually with high doses of steroid tablets to get the pemphigoid under control quickly. Accessed Oct. 4, 2018. Mayo Clinic College of Medicine and Science, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Graduate Medical Education, Mayo Clinic School of Continuous Professional Development, Mayo Clinic on Incontinence - Mayo Clinic Press, NEW Mayo Clinic on High Blood Pressure - Mayo Clinic Press, Mayo Clinic on Hearing and Balance - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Financial Assistance Documents Minnesota, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition, Symptoms you've been having and for how long, The name and contact information of any doctor you have seen recently or see regularly, All medications, vitamins and supplements you take, including doses. I have been taking calcium citrate 600 mg daily, with vitamin D 650 IU. Given below are various of the foods that are high in isothiocyanates and must avoided: Those foods that are high in thiols have been known to trigger off an outbreak of Bullous Pemphigoid in people. Pemphigoid bullous images. High-dose steroid creams, such as Clobetasol (Dermovate), are used to treat severe symptoms. References What side effects can I expect from treatment? . It can be well-managed with medications. Clobex (clobetasol) is a strong topical corticosteroid (one that is applied to the skin) that doctors may prescribe for bullous pemphigoid. Monday through Friday, 8 a.m. to 6 p.m. (Eastern time), Monday through Friday, 9 a.m. to 5 p.m. (Eastern time), Monday to Friday, 8 a.m. to 6 p.m. (Eastern time). The Growing Incidence of Bullous Pemphigoid: Overview and Potential Explanations. A blood test (BP 180 antibody) sometimes predicts a relapse of the disease. Accessed Sept. 19, 2018. These blisters are often itchy, but not painful. https://www.merckmanuals.com/professional/dermatologic-disorders/bullous-diseases/bullous-pemphigoid. Bullous pemphigoid. In: Kang S, et al. Bullous pemphigoid is most common in older adults. Make your tax-deductible gift and be a part of the cutting-edge research and care that's changing medicine. DermNet does not provide an online consultation service.If you have any concerns with your skin or its treatment, see a dermatologist for advice. Patients on oral prednisone should maintain adequate calcium and vitamin D intake through diet and supplements. You may also get a pink-colored rash (see Figure 1) that looks like eczema (skin rash). In order to stop such situation, you must discuss with your doctor if you need calcium and vitamin D supplements. Involvement of the inner nose can cause nosebleeds. What are the serious side effects of Onglyza? The Johns Hopkins University Press. If youd like to notify the FDA about a side effect youve had with Onglyza, visit MedWatch. Our scientists pursue every aspect of cancer researchfrom exploring the biology of genes and cells, to developing immune-based treatments, uncovering the causes of metastasis, and more. Urinary tract infections (UTIs) are common with Onglyza, because this drug may affect the immune system. Topical corticosteroids, systemic corticosteroids, and doxycycline are the mainstays of initial treatment for bullous pemphigoid. ANSWER: Before the introduction of steroids like prednisone, bullous pemphigoid was a potentially fatal skin disease. If you have bullous pemphigoid, you can help take care of your condition with the following self-care strategies: You may start by seeing your primary care doctor. Avoid crunchy or sharp foods, including chips, cereal, crusty bread and raw vegetables and fruits. People suffering from the Bullous Pemphigoid should avoid fruits and vegetables like: Apples Eggplant Raspberries Bananas Cherries Blackberries Avocadoes Pear Grape skin Mangoes Cranberries Persimmons Some of the other general Bullous Pemphigoid foods to be keep away from, because of high tannins content include: Arrowroot Black walnuts Coffee People with bullous pemphigoid may develop multiple blisters. Shinkai K, Fox LP. Bullous pemphigoid most commonly affects people over 60 years old, but it may also appear in younger people, too. Bullous pemphigoid (BUL-us PEM-fih-goid) is a rare skin condition that causes large, fluid-filled blisters. If you are unsure how to take care of your blisters and sores, ask your dermatologist. Heres what you need to know. Mayo Clinic does not endorse companies or products. This type of disease develops when your immune system malfunctions, causing your body to attack a part of itself. You may be able to take a lower dose of steroid tablets. From diagnosis to treatment, our experts provide the care and support you need, when you need it. In: Loscalzo J, Fauci A, Kasper D, et al., eds. [23] Serious side effects of Onglyza can occur in people with heart failure. The skin over your blisters is very strong. T.M.C. Herbal Care Products All Rights Reserved. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2001. Pancreatitis (inflammation of the pancreas) is a severe possible side effect of Onglyza. You can search by location, condition, and procedure to find the dermatologist thats right for you. This attack produces inflammation, which is what . Report any symptoms to your doctor. Corticosteroids are powerful medications that act quickly to get your disease under control. See the drugs prescribing information for details. https://www.uptodate.com/contents/search. Your antibodies attack the membrane between the outer layer of your skin (epidermis) and the layer under it (dermis). Find out why dark spots appear and what can fade them. UK Dermatology Clinical Trials Network BLISTER Study Group. 2017 Apr 22;389(10079):16308. Doctors sometimes prescribe Onglyza with other diabetes drugs, such as Glumetza (metformin). Yancey KB, Chong BF, Lawley TJ. You can expect permanent results in all but one area. If you have kidney problems, your doctor may need to prescribe a lower dose of Onglyza for you. Wound care: Open blisters and raw skin can become infected. 2011 Sep;165(3):5939. Major side effects of systemic glucocorticoids. Last accessed 7/9/2021. Our doctors deliver state-of-the-art care to maintain and improve your vision. The Marshall Protocol Knowledge Base, Photosensitivity. Last accessed 8.23.2016. Much more information is available at www.pemphigus.org. While all people with bullous pemphigoid have skin involvement, only about 33% of them develop blisters in their mouth. Some blisters do not burst. Epidemiology and pathogenesis of bullous pemphigoid and mucous membrane pemphigoid. Pemphigus vulgaris symptoms share some similarities to bullous pemphigoid symptoms. But restarting Onglyza or taking a similar medication, such as Januvia (sitagliptin), can cause joint pain to return. Bullous pemphigoid usually clears up on its own after about five years. Memorial Sloan Kettering was founded in 1884, and today is a world leader in patient care, research, and educational programs. You may want to bring a friend or relative to your appointment. How long is this illness likely to last, and is there anything I can do, such as diet, to alleviate the symptoms? It can affect large areas of the body or limbs. This specialized testing is usually performed by dermatologists. Wait until hot foods cool down before you eat. Merck Manual Professional Version. They include Dapsone, Sulfonamides (BactrimTM), or Rituximab (Rituxan ) for more severe cases. (ninth edition) McGraw Hill Education, United States of America, 2019:944-55. Tetracycline, doxycycline, and dapsone are antibiotics, which can reduce the inflammation inside your body. On brown and black skin they may look dark reddish-brown. Last updated 10/14/2020. Disease Overview Bullous pemphigoid (BP) is a rare, autoimmune, chronic skin disorder characterized by blistering, urticarial lesions (hives) and itching. But it does increase your chance of getting it. These help to heal your skin, prevent new blisters from appearing, and relieve the itch. Doxycycline versus prednisolone as an initial treatment strategy for bullous pemphigoid: a pragmatic, non-inferiority, randomised controlled trial. Report any skin blisters or wounds to your doctor while youre taking Onglyza. Your doctor will likely prescribe one or a combination of the drugs: Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. It may include corticosteroid medications, such as prednisone, and other drugs that suppress the immune system. Other cases of bullous pemphigoid have been associated with antibiotics, penicillamine, potassium iodide, frusemide, captopril, gold,penicillin, sulfasalazine, andtopical fluorouracil. These symptoms could be life threatening and require immediate medical care. Some patients continue to treat it for months to years to keep the disease under control. We do not endorse non-Cleveland Clinic products or services. Treatment can prevent a serious and sometimes life-threatening infection. Bullous pemphigoid is a rare autoimmune disease that causes blisters or sores on your skin. How can you tell that I have bullous pemphigoid? Multiple sclerosis (a disease that affects your central nervous system). Human immune system release antibodies to fight foreign bodies like viruses, bacteria, etc. Many people will need 1,000-2,000 IU a day, but you dont. During remission periods, you may stop your treatment. Certain medications may trigger bullous pemphigoid, but healthcare providers aren't sure exactly what causes it. You may have flare-up and times where it seems to go away (remission). Talk with your healthcare provider about using steroid creams and tablets together. They may have you stop taking it, which may relieve your joint pain. Steroid tablets reduce swelling and control your autoimmune response. I agree with your doctor. Most patients follow a treatment plan for six months to five years before the disease goes into long-term remission. Kawsar A, Edwards C, Patel P, et al. All rights reserved. Some people get pink eye with lots of mucus or crusts along their eyes. Shari Lipner, MD, PhD, FAAD, Dermatologists team up to improve patient care, JAK inhibitors: A newer type of medication, Free materials to help raise skin cancer awareness, Dermatologist-approved lesson plans, activities you can use. Other medications are also prescribed to treat bullous pemphigoid. window.__mirage2 = {petok:"kcWdMcQoXAqIVw.fVRaQuOnBWXhV0e4WwRV9Jgc44os-1800-0"}; Understand that it can take time to get pemphigus under control. Onglyza can cause side effects that range from mild to serious. Bullous pemphigoid is usually a disease of the elderly but it can also affect younger people and children. Free to everyone, these materials teach young people about common skin conditions, which can prevent misunderstanding and bullying. Saag KG, et al. Some people with bullous pemphigoid note worsening of their symptoms with a diet of onions, garlic or leeks. Our highly-specialized educational programs shape leaders to be at the forefront of cancer care and research. Keep reading to learn about common, mild, and serious side effects Onglyza can cause. The Bullous Pemphigoid Disease Area Index (BPDAI) has separate scores for skin and mucous membrane activity. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Treatment usually helps heal the blisters and ease any itching. Its important to contact your dermatologist if you have: Your feedback will help us improve the educational information we provide. For a while, your eyes may become very sensitive to light. However, in people 80 years of age and older, there are between 190 and 312 cases per 1 million. Leiferman KM. Your healthcare provider will examine your affected areas. (I am fair-skinned and live in Florida.) Nectars, such as peach, pear, or apricot; no fresh juices, like orange or grapefruit juice, Apple juice (diluted with water if necessary), Milk shakes (add protein powder or egg whites for additional calories and protein), Scrambled eggs, egg beaters, omelets, egg salads, Oatmeal and Farina (cool to room temperature), The Economics of Patient Assistance Programs: What Patients Need to Know, The Pharmacists Role in Managing Autoimmune Blistering Disease Patients Medication Needs, Womens Dermatological Society Features the IPPF in Editorial Highlight. Tweet. Take care of mouth sores. Pemphigoid is caused by a malfunction of the immune system and . Yes, a 5-milligram (mg) dose of Onglyza can cause more side effects than a 2.5-mg dose. No, bullous pemphigoid isnt contagious. For moderate-to-severe cases of bullous pemphigoid, your healthcare provider may prescribe an oral corticosteroid, like prednisone, in addition to a steroid-sparing immunomodulatory agent such as dapsone, mycophenolate mofetil, azathioprine, methotrexate or chlorambucil. Bullous Pemphigoid is a kind of chronic skin disorder connected with the outbreak of tense blisters on the skin surface. Advertising revenue supports our not-for-profit mission. Blood pressure, body weight, DEXA bone scan, and blood tests are required to monitor therapy, as medications used for bullous pemphigoid may have serious side effects in some patients. Red wine and type 2 diabetes dont go very well together because of sugar, but red wine might reduce heart disease risk. On white skin the patches look red or pink. Vitamin C. Capsaicin, an irritating chemical found in chili peppers and some plants such as aloe vera that can be applied topically to the skin to reduce the itching and swelling associated with pemphigoid. Bullous pemphigoid. Tell your dermatologist about eye problems. Do they heal on their own? The condition tends to go away after 1-5 years and then treatment can be stopped. 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). Other medications are also prescribed to treat bullous pemphigoid. The major cicatricial pemphigoid antigen is a 180-kD protein . Treatment is usually with steroid creams or medicines, but sometimes other medicines may be used. If you remember only one thing from this site, it should be that today pemphigus is nearly always controllable. For example, you may see that every time you eat onions, new lesions appear or current lesions worsen. The antibody can also be found in your urine (pee) or blister fluid. Onglyza (saxagliptin) is a prescription drug used to improve blood sugar levels in adults with type 2 diabetes. Oral corticosteroid drugs are the most common treatment, but may be associated . A dermatologist is a medical doctor who specializes in treating the skin, hair, and nails. We avoid using tertiary references. When this happens, dermatologists recommend the following: Eat only soft foods. These tests are done to confirm your diagnosis: Treatment slows down your autoimmune response. Patients with widespread blisters may be admitted to a hospitals burn unit. (https://ncbi.nlm.nih.gov/pmc/articles/PMC8040401/). Pancreatitis. If you have any concerns with your skin or its treatment, see a dermatologist for advice. Unusually, mucosal involvement occurs. Theyll tell you whether you need to stop taking the drug and may refer you to a dermatologist for treatment. Remission differs from a cure. It may go away and come back, but it generally responds well to treatment and goes away completely after approximately five years. Currently my illness is under control with this treatment. What is the treatment for bullous pemphigoid? The result is a poor nutrient intake, which can result in weight loss and loss of the bodys protein stores. If you cant take cant corticosteroids or other immunomodulatory agents, your healthcare provider may prescribe oral tetracycline or doxycycline pills. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2018. AskMayoExpert. Some people have reported their bullous pemphigoid improved or went away after eliminating certain foods from their diet. arrow-right-small-blue If you are worried that you have bullous pemphigoid, seeing a board-certified dermatologist can help you get an accurate diagnosis and treatment. Learn more about some of the side effects Onglyza may cause. Serious side effects have been reported with Onglyza. A medium or high dose usually is needed at first. Some people who are pregnant can get bullous pemphigoid. Br J Dermatol. Examples include: If your doctor confirms youve had a mild allergic reaction to Onglyza, theyll decide whether you should continue taking it. These include atherosclerotic cardiovascular (heart-related) disease and being age 65 years or older. If you have a skin infection or blisters cover a large area of your body, your dermatologist may admit you to a hospital. Steroid-sparing drugs. Bullous pemphigoid. . Doctors are unsure whether Onglyza is safe to take during pregnancy. In: Kang S, Amagai M, Bruckner AL, et al., eds. Culton DA, Zhi L, Diaz LA. New research finds that previous studies may have underestimated how effective the Mediterranean diet is for lowering your risk of type 2 diabetes. Culton DA, Liu Z, Diaz LA. These blisters can open and look like mouth ulcers. Dear Dr. Roach: I am an active, healthy 86-year-old woman. Eosinophils may be prominent. In most cases, the diagnosis will be confirmed by a skin biopsy of an early blister. People with kidney problems who take this drug also have an increased risk of heart failure. If youre breastfeeding or considering breastfeeding while taking this drug, talk with your doctor. Side effects can include: If you take steroids for more than a month, your healthcare provider will have you take vitamin D and calcium tablets. Once the disease is in long-term remission, many patients can stop treatment. They usually arent painful, but they may break open and become a painful sore or ulcer. Dupilumab as a novel therapy for bullous pemphigoid: A multicenter case series. J Am Acad Dermatol. Modern conventional pemphigus treatment options include: ( 5, 6) Corticosteroid creams or pills Immunosuppressant drugs, such as azathioprine or mycophenolate mofetil Biologic drugs, such as rituximab Antibiotics, antivirals and antifungals to help fight infections Bullous pemphigoid on a patient's arm. Chen YJ, Wu CY, Lin MW, Chen TJ, et al. The absence of warnings or other information for a given drug does not indicate that the drug or drug combination is safe, effective, or appropriate for all patients or all specific uses. The blisters rupture easily, leaving open sores, which may ooze and become infected. What's the most likely cause of my symptoms? But long-term use can increase your risk of weak bones, diabetes, high blood pressure, high cholesterol and infection. The following websites can help you get started: Contact your healthcare provider right away if you notice blisters that you cant explain. Bullous pemphigoid is a rare skin condition that causes blisters on your skin. Do you know which one? Bullous pemphigoid occurs when your immune system attacks a thin layer of tissue below your outer layer of skin. Medications are often stopped in people who have complete remission; however, if the disease comes back, then treatment needs to be restarted. Wear soft, loose-fitting clothing made out of natural fibers. 2004;51(6):859-77. Bullous pemphigoid is the result of an attack on the basement membrane of the epidermis by IgG +/- IgE immunoglobulins (antibodies) and activated T lymphocytes (white blood cells). Does my age affect my risk of side effects with Onglyza? The sample is looked at under a microscope and tested to confirm bullous pemphigoid caused the blisters. If youre pregnant or considering pregnancy while taking Onglyza, talk with your doctor. You may also develop a rash before you see the first blisters. High blood sugar can cause complications with delivery, including stillbirth. Some people may get small blisters inside their mouth. This group of diseases is broad and encompasses subepidermal conditions like bullous pemphigoid, cicatricial pemphigoid, epidermolysis bullosa acquisita, dermatitis herpetiformis, and linear IgA bullous dermatosis, as well as intraepidermal conditions .

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