Pemphigus, which is caused by autoantibodies, and bullous impetigo(including its generalized form, the staphylococcal scalded-skinsyndrome), which is caused by Staphylococcus aureus, are seeminglyunrelated diseases. However, 200 years ago, astute cliniciansrealized that these diseases had enough clinical similaritiesto call bullous impetigo and the scalded-skin syndrome in infants"pemphigus neonatorum."1,2 In this review we explain how a commonmechanism accounts for the clinical overlap of these blisteringdiseases of the skin, and how the unraveling of the molecularpathophysiology of pemphigus provided the clues that were necessaryto determine the mechanism of the formation of blisters in . . . [Full Text of this Article]
Pemphigus
Desmogleins
Pathogenicity of Antidesmoglein Antibodies
Desmoglein Compensation
Pemphigus Autoantibodies and Loss of Adhesion of Keratinocytes
Inactivation of Desmoglein
Direct and Indirect Effects of Pemphigus Antibodies
Bullous Impetigo and the Staphylococcal Scalded-Skin Syndrome
Pemphigus Neonatorum
Production of Exfoliative Toxin by Staphylococcus
Diagnosis and Therapy
Bullous Impetigo and the Staphylococcal Scalded-Skin Syndrome
Pemphigus
Conclusions
Source Information
From the Departments of Dermatology, University of Pennsylvania School of Medicine, Philadelphia (J.R.S.); and Keio University School of Medicine, Tokyo (M.A.).
Address reprint requests to Dr. Stanley at the University of Pennsylvania, 211 CRB, 415 Curie Blvd., Philadelphia, PA 19104.
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