血清Dsg1、Dsg3及BP180抗体诊断口腔寻常型天疱疮与大疱性类天疱疮的临床应用价值

The clinical application value of serum Dsg1, Dsg3, and BP180 antibodies in the diagnosis of oral pemphigus vulgaris and bullous pemphigus vulgaris

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DOI 10.12208/j.ijcr.20250500
刊名
International Journal of Clinical Research
年,卷(期) 2025, 9(10)
作者
作者单位

广西壮族自治区皮肤病医院 广西南宁

摘要
口腔黏膜损害是多种自身免疫性大疱性疾病的常见表现,其中寻常型天疱疮和大疱性类天疱疮是临床鉴别诊断的重点与难点。两者在临床表现、组织病理及治疗策略上存在显著差异,准确、快速的诊断对改善预后至关重要。近年来,血清中桥粒芯糖蛋白1(Desmoglein 1, Dsg1)、桥粒芯糖蛋白3(Desmoglein 3, Dsg3)及BP180抗体的检测已成为自身免疫性大疱病血清学诊断的核心手段。本文综述Dsg1、Dsg3及BP180抗体在口腔PV与BP诊断中的特异性、敏感性、临床分型价值及其在疾病监测中的应用,探讨其在提升诊断效率、指导治疗及评估预后方面的临床价值。
Abstract
Oral mucosal damage is a common manifestation of various autoimmune bullous diseases, among which pemphigus vulgaris and bullous pemphigoid are the key and difficult points in clinical differential diagnosis. There are significant differences between the two in clinical manifestations, histopathology, and treatment strategies, and accurate and rapid diagnosis is crucial for improving prognosis. In recent years, the detection of Desmoglein 1 (Dsg1), Desmoglein 3 (Dsg3), and BP180 antibodies in serum has become a core method for serological diagnosis of autoimmune bullous diseases. This article reviews the specificity, sensitivity, clinical subtyping value, and application in disease monitoring of Dsg1, Dsg3, and BP180 antibodies in the diagnosis of oral PV and BP, and explores their clinical value in improving diagnostic efficiency, guiding treatment, and evaluating prognosis.
关键词
寻常型天疱疮;大疱性类天疱疮;Dsg1抗体;Dsg3抗体;BP180抗体
KeyWord
Common pemphigus vulgaris; Bullous pemphigoid; Dsg1 antibody; Dsg3 antibody; BP180 antibody
基金项目
页码 138-141
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郭春平, 杨怡艳, 朱邦勇. 血清Dsg1、Dsg3及BP180抗体诊断口腔寻常型天疱疮与大疱性类天疱疮的临床应用价值 [J]. 国际临床研究杂志. 2025; 9; (10). 138 - 141.

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