Publisher： John Wiley & Sons Inc
E-ISSN： 1525-1470|32|3|e74-e77
ISSN： 0736-8046
Source： PEDIATRIC DERMATOLOGY, Vol.32, Iss.3, 2015-05, pp. : e74-e77
Disclaimer: Any content in publications that violate the sovereignty, the constitution or regulations of the PRC is not accepted or approved by CNPIEC.
Abstract
AbstractWe report the case of a 2‐week‐old boy who presented with a vesiculopustular, bullous eruption in the setting of autoimmune enteropathy, hypothyroidism, membranous nephropathy, Coombs‐positive hemolytic anemia, and persistent eosinophilia. Immunologic testing revealed a deficiency of FOXP3‐expressing regulatory T cells, and a diagnosis of immune dysregulation, polyendocrinopathy, enteropathy, X‐linked syndrome was made. Histologic analysis, immunofluorescence, and enzyme‐linked immunosorbent assay confirmed the bullous eruption as epidermolysis bullosa acquisita with associated collagen VII autoantibody production. The skin lesions responded to systemic immunosuppressant therapy and have regressed after allogeneic bone marrow transplantation.
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