Pathology · single question

What is the best method to diagnose this condition?

  1. Direct immunofluorescence (DIF)
  2. Serum lab tests
  3. Exfoliative cytology
  4. Brush biopsy
Show answer and explanation

Correct answer: A. Direct immunofluorescence (DIF)

Autoimmune vesiculobullous diseases (pemphigus vulgaris, mucous membrane pemphigoid, etc.) are definitively diagnosed by histopathology PLUS direct immunofluorescence on perilesional tissue. DIF reveals the location and type of immune-complex deposition (intraepithelial net-like in pemphigus; linear at the basement membrane in pemphigoid).

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