Linear immunoglobulin A bullous dermatosis with severe ocular and oropharyngeal involvement

Abstract

Linear IgA bullous dermatosis (LABD) is a rare chronic autoimmune epidermal disorder that presents with bullous and vesicular lesions affecting the skin and, more rarely, oral and ocular mucosa.1 This report describes a previously well 74-year-old man on no medications who presented with 3 months of oral mucosal ulceration causing dysphagia and odynophagia, bilateral ocular irritation and injection, and 6 months of cutaneous lesions. Clinical examination revealed multiple papular erythematous skin lesions on the trunk and axilla.