Pathology · single question

Which test is used to confirm a diagnosis of pemphigus vulgaris?

  1. Direct/indirect immunofluorescence
  2. Gram stain
  3. Periodic acid–Schiff (PAS) stain for fungi
  4. Routine bacterial culture
Show answer and explanation

Correct answer: A. Direct/indirect immunofluorescence

  • A. Correct. Direct immunofluorescence shows the intercellular 'fishnet' IgG deposition between keratinocytes that is diagnostic of pemphigus.
  • B. Incorrect. Gram stain identifies bacteria, not autoimmune blistering disease.
  • C. Incorrect. PAS highlights fungal organisms (e.g., Candida), not pemphigus autoantibodies.
  • D. Incorrect. Pemphigus is autoimmune, not infectious; culture is unhelpful.

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