M. Ameen et al., Dermatitis herpetiformis evolving into bullous pemphigoid: a probable example of 'epitope spreading', CLIN EXP D, 25(5), 2000, pp. 398-400
We report a case of dermatitis herpetiformis which, 11 years after its orig
inal diagnosis, evolved into bullous pemphigoid. Only a few similar cases s
upported by immunfluorescence studies have been reported previously, and we
believe that they represent examples of 'epitope spreading', an increasing
ly recognized phenomenon used to explain the coexistence of autoimmune dise
ases.