Bullous Pemphigoid

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Pathogenesis: Type II hypersensitivity?

  • Dogs and horses
  • Involves oral cavity, mucocutaneous junctions, groin and axilla
  • Subepidermal vesicles and bullae
  • Antibodies bound to basement membrane
  • Grossly:
  • Microscopically:
    • Bullae containing fibrin, neutrophils or eosinophils
    • Basement membrane forms floor of bullae and roof is lined with basal cells
  • Bullae may rupture -> ulcers