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N-serrated pattern of IgG basement membrane zone antibody staining in bullous pemphigoid by DIF microscopy

N-serrated pattern of IgG basement membrane zone antibody staining in bullous pemphigoid by DIF microscopy
The positive DIF staining along the basement membrane zone in this section of a perilesional skin specimen demonstrates what is described as an n-serrated linear pattern interspersed with segments of true linear IgG basement membrane zone antibody reactivity. This pattern is associated with bullous pemphigoid, mucous membrane pemphigoid, anti-laminin gamma-1 pemphigoid, and linear IgA bullous dermatosis.
IgG: immunoglobulin G; DIF: direct immunofluorescence; IgA: immunoglobulin A.
Courtesy of Kristin M Leiferman, MD, Immunodermatology Laboratory, Department of Dermatology, University of Utah, Salt Lake City, Utah.
Graphic 86951 Version 4.0

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