Familial Pemphigus Vulgaris Occured in a Father and Son as the First Confirmed Cases

Pemphigus vulgaris (PV) is a chronic autoimmune bullous disease of the skin and mucous membranes. Although there is some evidence pointing towards a genetic predisposition by some human leukocyte antigen (HLA) genes, familial occurrence of PV is very rare. Most of the familial PV cases so far report...

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Main Authors: Ali Haydar Eskiocak, Birgul Ozkesici, Soner Uzun
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2016/1653507
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author Ali Haydar Eskiocak
Birgul Ozkesici
Soner Uzun
author_facet Ali Haydar Eskiocak
Birgul Ozkesici
Soner Uzun
author_sort Ali Haydar Eskiocak
collection DOAJ
description Pemphigus vulgaris (PV) is a chronic autoimmune bullous disease of the skin and mucous membranes. Although there is some evidence pointing towards a genetic predisposition by some human leukocyte antigen (HLA) genes, familial occurrence of PV is very rare. Most of the familial PV cases so far reported have been in mother and daughter and in siblings. PV in father and son, as presented here, has not been reported in the literature before, except an unconfirmed report. The diagnosis of PV was established by histologic, cytologic studies and enzyme linked immunosorbent assay (ELISA) in Case 1 and by ELISA and BIOCHIP indirect immunofluorescence test in Case 2. The son was responsive to moderate doses of methylprednisolone, with the treatment continuing with tapered doses. The father was in a subclinic condition; consequently, only close follow-up was recommended. HLA typing studies revealed identical HLA alleles of HLA-DR4 (DRB1⁎04) and HLA-DQB1⁎03 in both of our cases; this had been found to be associated with PV in prior studies. Familial occurrences of PV and related HLA genes indicate the importance of genetic predisposition. The first occurrence of confirmed familial PV in father and son is reported here.
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spelling doaj-art-5f10ce6f311e4f86b52e008a19ad023c2025-02-03T01:07:05ZengWileyCase Reports in Dermatological Medicine2090-64632090-64712016-01-01201610.1155/2016/16535071653507Familial Pemphigus Vulgaris Occured in a Father and Son as the First Confirmed CasesAli Haydar Eskiocak0Birgul Ozkesici1Soner Uzun2Department of Dermatology and Venereology, Akdeniz University School of Medicine, 07059 Antalya, TurkeyDepartment of Dermatology and Venereology, Akdeniz University School of Medicine, 07059 Antalya, TurkeyDepartment of Dermatology and Venereology, Akdeniz University School of Medicine, 07059 Antalya, TurkeyPemphigus vulgaris (PV) is a chronic autoimmune bullous disease of the skin and mucous membranes. Although there is some evidence pointing towards a genetic predisposition by some human leukocyte antigen (HLA) genes, familial occurrence of PV is very rare. Most of the familial PV cases so far reported have been in mother and daughter and in siblings. PV in father and son, as presented here, has not been reported in the literature before, except an unconfirmed report. The diagnosis of PV was established by histologic, cytologic studies and enzyme linked immunosorbent assay (ELISA) in Case 1 and by ELISA and BIOCHIP indirect immunofluorescence test in Case 2. The son was responsive to moderate doses of methylprednisolone, with the treatment continuing with tapered doses. The father was in a subclinic condition; consequently, only close follow-up was recommended. HLA typing studies revealed identical HLA alleles of HLA-DR4 (DRB1⁎04) and HLA-DQB1⁎03 in both of our cases; this had been found to be associated with PV in prior studies. Familial occurrences of PV and related HLA genes indicate the importance of genetic predisposition. The first occurrence of confirmed familial PV in father and son is reported here.http://dx.doi.org/10.1155/2016/1653507
spellingShingle Ali Haydar Eskiocak
Birgul Ozkesici
Soner Uzun
Familial Pemphigus Vulgaris Occured in a Father and Son as the First Confirmed Cases
Case Reports in Dermatological Medicine
title Familial Pemphigus Vulgaris Occured in a Father and Son as the First Confirmed Cases
title_full Familial Pemphigus Vulgaris Occured in a Father and Son as the First Confirmed Cases
title_fullStr Familial Pemphigus Vulgaris Occured in a Father and Son as the First Confirmed Cases
title_full_unstemmed Familial Pemphigus Vulgaris Occured in a Father and Son as the First Confirmed Cases
title_short Familial Pemphigus Vulgaris Occured in a Father and Son as the First Confirmed Cases
title_sort familial pemphigus vulgaris occured in a father and son as the first confirmed cases
url http://dx.doi.org/10.1155/2016/1653507
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AT birgulozkesici familialpemphigusvulgarisoccuredinafatherandsonasthefirstconfirmedcases
AT soneruzun familialpemphigusvulgarisoccuredinafatherandsonasthefirstconfirmedcases