Linear IgA bullous dermatosis (LABD) is an autoimmune subepidermal bullous
disease with heterogeneous clinical manifestations, characterized by linear
deposition of IgA along the epidermal basement membrane zone. We report a
patient with a metastasized renal cell carcinoma who developed an extensive
blistering eruption. The lesions showed immunopathological findings charac
teristic of LABD. The patient showed a fair response to prednisolone and da
psone. Treatment to control the LABD was no longer required when interferon
-alfa was started as palliative therapy for the metastasized renal cell car
cinoma. The association of LABD and malignancies has been documented before
and is not due to mere chance alone.