Bullous Diseases · Pathology

In the Salt-Split Skin technique, the autoantibodies in Bullous Pemphigoid bind to which side of the split?

  1. The epidermal roof
  2. The dermal floor
  3. Both the roof and the floor
  4. Neither; they bind to the blood vessels
Show answer and explanation

Correct answer: The epidermal roof

When skin is split through the lamina lucida using 1M NaCl, the BP180 and BP230 antigens remain with the basal keratinocytes. Therefore, the IgG in Bullous Pemphigoid localizes to the roof of the split.

Difficulty: Medium Question 9 of 20

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