THE USE OF CONFOCAL LASER SCANNING MICROSCOPY IN THE DIAGNOSTICS OF BULLOUS PEMPHIGOID OF LEVER
- Authors: Olisova O.Y.1,2, Teplyuk N.P.1,2, Tkachenko S.B.1,2, Varshavskiy V.A.1,2, Zaydenov V.A.3,4, Allenova A.S.1,2
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Affiliations:
- I.M. Sechenov First Moscow State Medical University
- 8/2 Trubetskaya ul., Moscow, 119991, Russian Federation
- Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs
- 1 Shchukinskaya ul., Moscow, 123182, Russian Federation
- Issue: Vol 44, No 1 (2016)
- Pages: 33-38
- Section: DERMATOLOGY
- URL: https://almclinmed.ru/jour/article/view/303
- DOI: https://doi.org/10.18786/2072-0505-2016-44-1-33-38
- ID: 303
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Full Text
Abstract
Diagnostics of autoimmune bullous dermatoses, including bullous pemphigoid of Lever that is characterized by a large variety of clinical manifestations and in many cases by severe course and high mortality, remains one of the most complicated problems in dermatology. High diagnostic error rates are to be explained not only by variability of the forms of bullous pemphigoid of Lever, but also by insufficient accuracy of existing diagnostic methods, as well as by the complexity of their implementation. Non-invasive diagnostic methods have an undoubted advantage because they allow for prompt results of the assessment and therefore to fasten the initiation of therapy and to avoid damage to the skin, which is extremely important for patients with an autoimmune bullous dermatosis. The most accurate among non-invasive methods is a confocal laser scanning microscopy. The article describes the main features of the method and its potential application for the diagnosis of bullous pemphigoid of Lever with two clinical cases.
About the authors
O. Yu. Olisova
I.M. Sechenov First Moscow State Medical University; 8/2 Trubetskaya ul., Moscow, 119991, Russian Federation
Author for correspondence.
Email: erika-mma@yandex.ru
MD, PhD, Professor, Head of the Chair of Skin and Venereal Diseases
РоссияN. P. Teplyuk
I.M. Sechenov First Moscow State Medical University; 8/2 Trubetskaya ul., Moscow, 119991, Russian Federation
Email: erika-mma@yandex.ru
MD, PhD, Professor, Chair of Skin and Venereal Diseases Россия
S. B. Tkachenko
I.M. Sechenov First Moscow State Medical University; 8/2 Trubetskaya ul., Moscow, 119991, Russian Federation
Email: erika-mma@yandex.ru
MD, PhD, Professor, Member-Correspondent of Russian Academy of Sciences, Research Department of Immunodependent Dermatoses, Research Center
РоссияV. A. Varshavskiy
I.M. Sechenov First Moscow State Medical University; 8/2 Trubetskaya ul., Moscow, 119991, Russian Federation
Email: erika-mma@yandex.ru
MD, PhD, Professor, Chair of Pathological Anatomy Россия
V. A. Zaydenov
Academician V.I. Shumakov Federal Research Center of Transplantology and Artificial Organs; 1 Shchukinskaya ul., Moscow, 123182, Russian Federation
Email: erika-mma@yandex.ru
MD, PhD, Senior Research Fellow, Laboratory of Department of Clinical Pathology and Immunohistochemistry Россия
A. S. Allenova
I.M. Sechenov First Moscow State Medical University; 8/2 Trubetskaya ul., Moscow, 119991, Russian Federation
Email: erika-mma@yandex.ru
MD, PhD Student, Chair of Skin and Venereal Diseases, Research Department of Immunodependent Dermatoses, Research Center Россия
References
- Вольф К, Голдсмит ЛА, Кац СИ, Джилкрест Б, Паллер ЭС, Леффель ДД. Дерматология Фицпатрика в клинической практике. В 3 томах. Т. 1. М.: Издательство Панфилова / БИНОМ; 2012.
- Самцов АВ, Белоусова ИЭ. Буллезные дерматозы. СПб.: КОСТА; 2012. 144 с.
- Теплюк НП. Буллезный пемфигоид Левера (лекция-обзор). Российский журнал кожных и венерических болезней. 2007;(1):43–9.
- Лукьянов АМ, Колос ЮВ, Малютин ВА, Левченя МВ, Титов ЛП. Дифференциальная диагностика пузырных дерматозов. Здравоохранение. 2011;(8):29–38.
- Теплюк НП, Алтаева АА, Белоусова ТА, Грабовская ОВ, Каюмова ЛН. Буллезный пемфигоид Левера как паранеопластический процесс. Российский журнал кожных и венерических болезней. 2012;(4):5–10.
- Махнева НВ. Современный взгляд на диагностику и лечение аутоиммунных буллезных дерматозов. Международный журнал прикладных и фундаментальных исследований. 2011;(9):15–7.
- Inchara YK, Rajalakshmi T. Direct immunofluorescence in cutaneous vesiculobullous lesions. Indian J Pathol Microbiol. 2007;50(4): 730–2.
- Chan LS, Elston Dirk M. Emedicine dermatology: bullous pemphigoid [Электронный ресурс]. Доступно на: http://emedicine.medscape. com/article/1062391-overview.
- Magnolo N, Schwarz T, Ständer S. [Cutaneous drug reactions imitating dermatoses]. Hautarzt. 2014;65(5):424–9 (in German). doi: 10.1007/ s00105-013-2697-8.
- Резайкин АВ, Кубанова АА, Резайкина АВ. Неинвазивные методы исследования кожи. Вестник дерматологии и венерологии. 2009;(6):28–32.
- Ткаченко С. Б, Теплюк Н. П, Алленова А. С, Куприянова АГ, Лепехова АА, Пятилова ПМ. Современные методы дифференциальной диагностики истинной акантолитической пузырчатки и буллезного пемфигоида. Российский журнал кожных и венерических болезней. 2015;(3):17–23.
- Levi A, Ophir I, Lemster N, Maly A, Ruzicka T, Ingber A, Enk CD. Noninvasive visualization of intraepidermal and subepidermal blisters in vesiculobullous skin disorders by in vivo reflectance confocal microscopy. Lasers Med Sci. 2012;27(1):261–6. doi: 10.1007/s10103-011-0943-9.
- Kerl H, Garbe C, Soyer HP. Histopathologie der Haut. Berlin: Springer; 2003. 956 s. [Kerl H, Garbe C, Soyer HP. Histopathology of the skin. Berlin: Springer; 2003. 956 p. (in German)].
- Kurzeja M, Rakowska A, Rudnicka L, Olszewska M. Criteria for diagnosing pemphigus vulgaris and pemphigus foliaceus by reflectance confocal microscopy. Skin Res Tech-nol. 2012;18(3):339–46. doi: 10.1111/j.1600-0846.2011.00574.x.
- Białek-Galas K, Wielowieyska-Szybińska D, Dyduch G, Wojas-Pelc A. The use of reflectance confocal microscopy in selected inflammatory skin diseases. Pol J Pathol. 2015;66(2):103–8.