{"id":7568,"date":"2020-04-25T00:48:01","date_gmt":"2020-04-25T03:48:01","guid":{"rendered":"https:\/\/doctorhoogstra.com\/es\/penfigoide-cicatricial-de-brunsting-perry\/"},"modified":"2020-10-30T07:11:36","modified_gmt":"2020-10-30T10:11:36","slug":"pemphigoid-cicatricial-de-brunsting-perry","status":"publish","type":"wiki","link":"https:\/\/doctorhoogstra.com\/en\/wiki\/penfigoide-cicatricial-de-brunsting-perry\/","title":{"rendered":"Brunsting-Perry cicatricial pemphigoid"},"content":{"rendered":"<p><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_88 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/penfigoide-cicatricial-de-brunsting-perry\/#%C2%BFQue-es-Brunsting-Perry-cicatricial-penfigoide\" >What is Brunsting-Perry? Pemphigoid scar?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/penfigoide-cicatricial-de-brunsting-perry\/#%C2%BFQue-causa-el-penfigoide-cicatricial-de-Brunsting-Perry\" >What causes Brunsting-Perry scarring pemphigoid?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/penfigoide-cicatricial-de-brunsting-perry\/#Presentacion-clinica-del-penfigoide-cicatricial-de-Brunsting-Perry\" >Clinical presentation of Brunsting-Perry cicatricial pemphigoid<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/doctorhoogstra.com\/en\/wiki\/penfigoide-cicatricial-de-brunsting-perry\/#%C2%BFCual-es-el-tratamiento-para-el-penfigoide-cicatricial-Brunsting-Perry\" >What is the treatment for Brunsting-Perry scarring pemphigoid?<\/a><\/li><\/ul><\/nav><\/div>\n\n<section class=\"textBlock\">\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-es-Brunsting-Perry-cicatricial-penfigoide\"><\/span>What is Brunsting-Perry? <span class=\"term\" data-term-id=\"36\">scar<\/span> pemphigoid?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Brunsting-Perry cicatricial pemphigoid (or <span class=\"term\" data-term-id=\"188\">mucous<\/span> membrane pemphigoid) is a rare variant of <span class=\"term\" data-term-id=\"1485\">mucous membrane<\/span> pemphigoid It is a <span class=\"term\" data-term-id=\"691\">autoimmune<\/span> blistering skin condition <span class=\"term\" data-term-id=\"324\">located<\/span> a la regi\u00f3n de la cabeza y el cuello. La caracter\u00edstica m\u00e1s llamativa es el desarrollo de cicatrices significativas. A diferencia del cl\u00e1sico <a href=\"https:\/\/doctorhoogstra.com\/en\/tipos-tratamientos\/lesiones-de-la-piel\/\" class=\"wpil_internal_link\" style=\"display: inline !important;width: auto !important\" data-wpil-post-to-id=\"\">pemphigoid<\/a> de la membrana mucosa, la afectaci\u00f3n de la membrana mucosa es menos com\u00fan y no se asocia con cicatrices.<\/p>\n<p>Some authors believe that Brunsting-Perry scarring pemphigoid is better known as the Brunsting-Perry variant of acquired epidermolysis bullosa. Acquired epidermolysis bullosa is another rare disorder of autoimmune blistering.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFQue-causa-el-penfigoide-cicatricial-de-Brunsting-Perry\"><\/span>What causes Brunsting-Perry scarring pemphigoid?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Brunsting-Perry scarring pemphigoid is an autoimmune disorder. This means that an individual&#039;s immune system begins to react against his own tissue. In this case, <span class=\"term\" data-term-id=\"352\">autoantibodies<\/span> react with the components of the basement membrane, particularly the anchorage <span class=\"term\" data-term-id=\"1611\">filament<\/span> laminin component 5, and the <span class=\"term\" data-term-id=\"1599\">hemidesmosome<\/span>-BP180 and BP230 associated proteins. In some patients <span class=\"term\" data-term-id=\"426\">antibodies<\/span> to <span class=\"term\" data-term-id=\"39\">collagen<\/span> VII have been described.<\/p>\n<p>In 20 to 30% of patients with Brunsting-Perry scarring pemphigoid, skin antibodies can be detected in their bloodstream. (indirect positive <span class=\"term\" data-term-id=\"142\">immunofluorescence<\/span>)<\/p>\n<div id=\"square-placement-country-holder\" class=\"country-dependent advert\">\n<div class=\"box-placement square-placement\">\n<div class=\"advert__frame\">\n<div id=\"dermnet-dermnet-mobbox\">\n<\/div><\/div><\/div><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Presentacion-clinica-del-penfigoide-cicatricial-de-Brunsting-Perry\"><\/span>Clinical presentation of Brunsting-Perry cicatricial pemphigoid<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The diagnosis of Brunsting-Perry scarring pemphigoid is based on the following characteristics:<\/p>\n<ul>\n<li>Itch <span class=\"term\" data-term-id=\"493\">Urticated<\/span> <span class=\"term\" data-term-id=\"235\">license plate<\/span> located on the head and neck (&quot;urticated&quot; means a <span class=\"term\" data-term-id=\"302\">bump<\/span>-like a plate similar to <span class=\"term\" data-term-id=\"1646\">urticaria<\/span>\n<\/li>\n<li>The plaque enlarges for weeks or months.<\/li>\n<li>The blisters arise around the edge of the plate.<\/li>\n<li>Occasionally a smaller secondary plate appears.<\/li>\n<li>The plaque heals slowly with significant scarring over months or years.<\/li>\n<li>Injuries to the scalp are associated with scarring. <span class=\"term\" data-term-id=\"824\">alopecia<\/span> (<span class=\"term\" data-term-id=\"122\">hair<\/span> lost)<\/li>\n<li>Mucosal membrane lesions can occur months after <span class=\"term\" data-term-id=\"949\">primary<\/span> <span class=\"term\" data-term-id=\"164\">injury<\/span>\n<\/li>\n<\/ul>\n<p><span class=\"term\" data-term-id=\"24\">Biopsy<\/span> the characteristics are similar to <span class=\"term\" data-term-id=\"498\">bullous<\/span> pemphigoid, but without scars.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"%C2%BFCual-es-el-tratamiento-para-el-penfigoide-cicatricial-Brunsting-Perry\"><\/span>What is the treatment for Brunsting-Perry scarring pemphigoid?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The treatment of Brunsting-Perry scarring pemphigoid is similar to that of classic scarring pemphigoid. The goal of treatment is to promote healing.<\/p>\n<p>Ultra powerful <span class=\"term\" data-term-id=\"1330\">current<\/span> steroids such as clobetasol propionate may suffice as monotherapy, however many patients require <span class=\"term\" data-term-id=\"380\">systemic<\/span> Corticosteroids Other immunomodulatory agents used for Brunsting-Perry cicatricial pemphigoid have included:<\/p>\n<ul>\n<li>Methotrexate<\/li>\n<li>Dapsone<\/li>\n<li>\n<span class=\"term\" data-term-id=\"848\">Excision<\/span> with a full-thickness skin graft<\/li>\n<\/ul>\n<p>In general, patients with Brunsting-Perry scarring pemphigoid have better <span class=\"term\" data-term-id=\"241\">forecast<\/span> than patients with classic scarring pemphigoid or acquired epidermolysis bullosa.<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>\u00bfQu\u00e9 es Brunsting-Perry? cicatricial penfigoide? Penfigoide cicatricial de Brunsting-Perry (o mucoso penfigoide de membrana) es una variante rara de membrana mucosa penfigoide Es un autoinmune condici\u00f3n ampollosa de la piel&#8230;<\/p>","protected":false},"author":8,"featured_media":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","format":"standard","meta":{"footnotes":""},"categories":[204],"tags":[],"class_list":["post-7568","wiki","type-wiki","status-publish","format-standard","category-glosario-definiciones"],"_links":{"self":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7568","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki"}],"about":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/types\/wiki"}],"author":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/comments?post=7568"}],"version-history":[{"count":0,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/wiki\/7568\/revisions"}],"wp:attachment":[{"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/media?parent=7568"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/categories?post=7568"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/doctorhoogstra.com\/en\/wp-json\/wp\/v2\/tags?post=7568"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}