Seventy adult patients with linear IgA disease were studied, Five (7.1
%) also suffered from ulcerative colitis (the prevalence of ulcerative
colitis in the U.K. is 0.05%). A further three patients with this ass
ociation, from other British centres were also reviewed. In all cases,
ulcerative colitis preceded the onset of skin disease, by a median of
6.5 years. The reason for this association remains unclear but the ab
normalities in colonic mucosal B cells and mucosal IgA(1) production r
eported in patients with ulcerative colitis may be important in the su
bsequent development of IgA(1) mediated linear IgA disease.