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Journal of the American Academy of Dermatology
Volume 4, n° 5
pages 547-555 (mai 1981)
Doi : 10.1016/S0190-9622(81)70055-0
Clinical and laboratory study

Penicillamine-associated pemphigus: Is it really pemphigus?

James L. Troy, M.D. , 1, David N. Silvers, M.D. 1, Marc E. Grossman, M.D. 1, Israeli A. Jaffe, M.D. 1
New York, NY, USA 

*Reprint requests to: Dr. James L. Troy, Dermatopathology Section, Suite 7 J, New York University Medical Center, 530 First Ave., New York, NY 10016/212-340-7250.

Penicillamine-associated bullous eruptions share with spontaneously occurring pemphigus intraepidermal acantholysis, epidermal intercellular deposition of immunoglobulin, and circulating serum antibody against the intercellular regions of the epidermis. We report the case of a penicillamine-associated bullous eruption in which there were some of the histologic features of pemphigus, but none of the imrnunofluorescent features. Instead, the immunofluorescent findings of bullous pemphigoid were demonstrated. Review of the literature reveals that clinical and histologic features of penicillamine-associated bullous eruptions differ in important respects from those of spontaneously occurring pemphigus. Our report adds immunologic data to evidence that the penicillamine-associated bullous eruptions may not be the same disease as spontaneously occurring pemphigus.

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1  From the Departments of Dermatology, Pathology, and Medicine, the College of Physicians and Surgeons of Columbia University, and the Presbyterian Hospital.

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