La maladie de Parkinson en France (serveur d'exploration)

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Bullous pemphigoid in a leg affected with hemiparesia : a possible relation of neurological diseases with bullous pemphigoid?

Identifieur interne : 001089 ( PascalFrancis/Checkpoint ); précédent : 001088; suivant : 001090

Bullous pemphigoid in a leg affected with hemiparesia : a possible relation of neurological diseases with bullous pemphigoid?

Auteurs : Nicolas Foureur [France] ; Vincent Descamps [France] ; Bénédicte Lebrun-Vignes [France] ; Catherine Picard-Dahan [France] ; Maggy Grossin [France] ; Stéphane Belaich [France] ; Béatrice Crickx [France]

Source :

RBID : Pascal:01-0310975

Descripteurs français

English descriptors

Abstract

We report a typical case of bullous pemphigoid (BP) associated with a neurological disorder and study a possible link between neurological disorders and BP. An 84-year-old hemiplegic woman presented with unilateral BP on the hemiparetic side. BP was confirmed by histological and immunofluorescence data. The medical records of the previous 46 consecutive patients with BP were retrospectively analyzed (average age: 79; median age: 85). Thirty of the 46 patients with BP had neurological disorders. These disorders included dementia, epilepsy, multiple sclerosis, cerebral stroke, Parkinson's disease, gonadotropic adenoma, trembling, dyskinesia, lumbar spinal stenosis. In a control group of the 46 consecutive oldest patients (older than 71; average age: 82,5; median age: 80) with another skin disease referred during the previous two-year-period to our one-day-unit only, 13 patients had a neurological disorder. This study demonstrates that there is a high prevalence of neurological disorders in patients with BP (p = 0.0004). A prospective case control study with neurological examination and psychometrical evaluation is warranted to confirm these data. We speculate that neuroautoimmunity associated with the aging process or neurological disorders may be involved in pemphigoid development via an autoimmune response against dystonin which shares homology with bullous pemphigoid antigen 1. Bullous pemphigoid could be considered to be a marker of neurological disorder.


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Pascal:01-0310975

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<fC03 i1="06" i2="X" l="ENG">
<s0>Elderly</s0>
<s5>06</s5>
</fC03>
<fC03 i1="06" i2="X" l="SPA">
<s0>Anciano</s0>
<s5>06</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Homme</s0>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Human</s0>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Hombre</s0>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Système nerveux pathologie</s0>
<s5>45</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>45</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>45</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>46</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>46</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>46</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Trouble moteur</s0>
<s5>47</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Motor system disorder</s0>
<s5>47</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Trastorno motor</s0>
<s5>47</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Maladie autoimmune</s0>
<s5>70</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Autoimmune disease</s0>
<s5>70</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Enfermedad autoinmune</s0>
<s5>70</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Immunopathologie</s0>
<s5>71</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Immunopathology</s0>
<s5>71</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Inmunopatología</s0>
<s5>71</s5>
</fC07>
<fC07 i1="07" i2="X" l="FRE">
<s0>Peau pathologie</s0>
<s5>72</s5>
</fC07>
<fC07 i1="07" i2="X" l="ENG">
<s0>Skin disease</s0>
<s5>72</s5>
</fC07>
<fC07 i1="07" i2="X" l="SPA">
<s0>Piel patología</s0>
<s5>72</s5>
</fC07>
<fC07 i1="08" i2="X" l="FRE">
<s0>Dermatose bulleuse</s0>
<s5>73</s5>
</fC07>
<fC07 i1="08" i2="X" l="ENG">
<s0>Bullous dermatosis</s0>
<s5>73</s5>
</fC07>
<fC07 i1="08" i2="X" l="SPA">
<s0>Dermatosis bulosa</s0>
<s5>73</s5>
</fC07>
<fN21>
<s1>211</s1>
</fN21>
</pA>
</standard>
</inist>
<affiliations>
<list>
<country>
<li>France</li>
</country>
<region>
<li>Île-de-France</li>
</region>
<settlement>
<li>Paris</li>
</settlement>
</list>
<tree>
<country name="France">
<region name="Île-de-France">
<name sortKey="Foureur, Nicolas" sort="Foureur, Nicolas" uniqKey="Foureur N" first="Nicolas" last="Foureur">Nicolas Foureur</name>
</region>
<name sortKey="Belaich, Stephane" sort="Belaich, Stephane" uniqKey="Belaich S" first="Stéphane" last="Belaich">Stéphane Belaich</name>
<name sortKey="Crickx, Beatrice" sort="Crickx, Beatrice" uniqKey="Crickx B" first="Béatrice" last="Crickx">Béatrice Crickx</name>
<name sortKey="Descamps, Vincent" sort="Descamps, Vincent" uniqKey="Descamps V" first="Vincent" last="Descamps">Vincent Descamps</name>
<name sortKey="Grossin, Maggy" sort="Grossin, Maggy" uniqKey="Grossin M" first="Maggy" last="Grossin">Maggy Grossin</name>
<name sortKey="Lebrun Vignes, Benedicte" sort="Lebrun Vignes, Benedicte" uniqKey="Lebrun Vignes B" first="Bénédicte" last="Lebrun-Vignes">Bénédicte Lebrun-Vignes</name>
<name sortKey="Picard Dahan, Catherine" sort="Picard Dahan, Catherine" uniqKey="Picard Dahan C" first="Catherine" last="Picard-Dahan">Catherine Picard-Dahan</name>
</country>
</tree>
</affiliations>
</record>

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