Paraneoplastic pemphigus was suspected in a 14-year-old Labrador retriever
because of mucocutaneous erosions, microscopic suprabasal acantholysis, and
keratinocyte apoptosis. In this patient, circulating IgG autoantibodies re
cognized plakin (envoplakin, periplakin) and desmoglein (desmoglein-1 and -
3) antigens. Necropsy, however, failed to confirm the concurrent existence
of hematopoietic or solid neoplasia. The diagnosis of pemphigus vulgaris th
erefore was proposed. This study illustrates that such a combination of cli
nicopathologic lesions and plakin/desmoglein-specific autoantibodies is not
restricted to canine paraneoplastic pemphigus but can also be detected in
another form of suprabasal pemphigus.