Pathology · single question

Pemphigus vulgaris results from autoantibodies directed against which cell-to-cell junction?

  1. Desmosomes (desmoglein)
  2. Hemidesmosomes
  3. Tight junctions
  4. Gap junctions
Show answer and explanation

Correct answer: A. Desmosomes (desmoglein)

Pemphigus vulgaris is caused by IgG autoantibodies against desmoglein in desmosomes, producing intraepithelial (suprabasal) acantholysis and a positive Nikolsky sign.Other options: Hemidesmosome targets characterize pemphigoid (subepithelial split); tight and gap junctions are not the target.Key exam takeaway: Pemphigus vulgaris = anti-desmosome (intraepithelial); pemphigoid = anti-hemidesmosome (subepithelial).

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