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Pemphigus & Autoimmune Blistering Disease Which one do you have?

Pemphigus, pemphigoid and epidermolysis bullosa are routinely confused — including in clinic. They sit in different layers of the skin, attack different proteins, behave differently and carry different risks. Start here.

Pemphigus Vulgaris

Antibodies against desmoglein 3. Usually starts in the MOUTH — painful erosions that will not heal, often months before any skin blister. Flaccid blisters that rupture into raw areas. The most serious of the pemphigus group.

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Pemphigus Foliaceus

Antibodies against desmoglein 1. Superficial, scaly and crusted — scalp, face, chest, upper back. Characteristically SPARES the mouth, which is what separates it from vulgaris.

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Bullous Pemphigoid

A DIFFERENT disease from pemphigus, not a variant of it. Antibodies against BP180/BP230 at the basement membrane, so the split is deeper and the blisters are TENSE, not flaccid. Mostly over 70. The intense itch usually arrives months before the first blister — and is very often treated as eczema or scabies until it does.

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Pemphigoid (mucous membrane, gestationis)

The wider pemphigoid family. Mucous membrane (cicatricial) pemphigoid SCARS — mouth and eyes — and ocular involvement can threaten sight and is an emergency. Pemphigoid gestationis occurs in pregnancy.

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Epidermolysis Bullosa — and why it is not like the others

⚠ Inherited EB is GENETIC, not autoimmune: a mutation means the proteins anchoring your skin were never built correctly. No formulation corrects a gene, and we do not claim to. Only epidermolysis bullosa ACQUISITA (EBA) is autoimmune — and that one does belong in this hub.

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Speak to a specialist about your Pemphigus

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