[An alternative to immunofluorescence on frozen tissue for the diagnosis of sub-epidermal auto-immune bullous dermatosis]

Bull Assoc Anat (Nancy). 1995 Jun;79(245):21-7.
[Article in French]

Abstract

The diagnosis of subepidermal auto-immune bullous dermatosis is usually based on immunofluorescence which demonstrates IgA, IgG, IgM or C3 on dermo-epidermal junction. However in some instance, this technique could not be performed. Here we report an alternative to immunofluorescence. It is a preembedding technique of immunolabelling using horseradish peroxidase, on fresh tissue without any freezing, before an inclusion in wax. So the observation of the labelling is possible with a standard microscope. This technique has been applied to 7 patients with various sub-epidermal auto-immune bullous dermatosis whose diagnosis was confirmed elsewhere by immunoelectron microscopy. It was as specific and sensitive than immunofluorescence whatever the bullous dermatosis.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Autoimmune Diseases / diagnosis*
  • Autoimmune Diseases / metabolism
  • Cryopreservation*
  • Fluorescent Antibody Technique, Direct*
  • Humans
  • Immunoenzyme Techniques*
  • Microscopy, Immunoelectron
  • Paraffin Embedding
  • Skin Diseases, Vesiculobullous / diagnosis*
  • Skin Diseases, Vesiculobullous / metabolism