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LETTER TO EDITOR
Year : 2005  |  Volume : 71  |  Issue : 3  |  Page : 209-210

Extrusion of sebaceous gland and hair follicle into a blister of bullous pemphigoid


Department of Skin and STD, J.S.S. Hospital, Mysore, India

Correspondence Address:
S Veeranna
Department of Skin and STD, Mysore - 4, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0378-6323.16246

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How to cite this article:
Veeranna S. Extrusion of sebaceous gland and hair follicle into a blister of bullous pemphigoid. Indian J Dermatol Venereol Leprol 2005;71:209-10

How to cite this URL:
Veeranna S. Extrusion of sebaceous gland and hair follicle into a blister of bullous pemphigoid. Indian J Dermatol Venereol Leprol [serial online] 2005 [cited 2019 Jun 19];71:209-10. Available from: http://www.ijdvl.com/text.asp?2005/71/3/209/16246


Sir,

I read with interest the article 'Extrusion of sebaceous gland into a blister of pemphigus vulgaris: An unusual processing artifact'[1] and would like to share my experience in this regard. I have noticed a similar finding in a case of bullous pemphigoid.

A 70 year old male patient presented with history of pruritic skin rashes and blisters all over since 15 days. There was no history of drug intake. On examination there were multiple erythematous patches with scaling, few urticarial lesions and tense vesicles and bullae over the trunk and extremities. There were no oral lesions. A clinical diagnosis of bullous pemphigoid was made. Skin biopsy showed subepidermal bulla and many eosinophils. More conspicuous was the presence of a sebaceous lobule with part of the hair follicle attached to it lying inside the blister cavity [Figure - 1].

The artifact of trans-follicular sebaceous gland extrusion usually goes unnoticed or ignored. As the authors have suggested, it may not be an unusual histopathological finding but an unreported one. I agree with the authors that it is an artifact rather than a natural phenomenon. Previous reports have documented the presence of only sebaceous glands but in the above case there was a sebaceous gland with part of the hair follicle attached to it, which is definitely an artifact rather than a natural phenomenon.



 
  References Top

1.Joshi R, Marwah HS. Extrusion of sebaceous gland into a blister of Pemphigus Vulgaris: An unusual processing artifact. Indian J Dermatol Venereol Leprol 2004:70:316-7.  Back to cited text no. 1      


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This article has been cited by
1 Extrusion of pilosebaceous unit into blister cavity of pemphigus vulgaris: An artifact occurring as a natural phenomenon in pemphigus vulgaris
Vijaya, B., Sunila, Manjunath, G.V., Priya, L.
Indian Journal of Dermatology, Venereology and Leprology. 2010; 76(5): 575-576
[Pubmed]



 

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