Bullous Diseases · Pathology

Direct immunofluorescence of Dermatitis Herpetiformis typically shows which pattern?

  1. Linear IgG along the basement membrane
  2. Granular IgA at the papillary tips
  3. Fishnet IgG in the epidermis
  4. Cytoplasmic IgM in the basal layer
Show answer and explanation

Correct answer: Granular IgA at the papillary tips

Granular IgA deposits at the tips of the dermal papillae are pathognomonic for Dermatitis Herpetiformis. This reflects the systemic IgA response to transglutaminases.

Difficulty: Medium Question 12 of 20

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